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General NPI Number Information
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NPI Number | 1821113945
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Entity Type | Organization
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Legal Business Name | NARCISA D LIPANA MD PC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 S 8TH ST
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City | DEMING
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State | NM
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Zip | 88030
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Country | US
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Telephone | 505-546-1059
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Fax | 505-546-8388
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Provider Business Mailing Address
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Address Line | PO BOX 1519
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City | DEMING
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State | NM
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Zip | 88031
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Country | US
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Telephone | 505-546-1059
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Fax | 505-546-8388
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Authorized Official
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Title or Position | DR
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Name | MRS. NARCISA D LIPANA
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Credential | MD
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Telephone | 505-546-1059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 92282
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License Number State | NM
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