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General NPI Number Information
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NPI Number | 1841511029
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Entity Type | Individual
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Provider Name | ELEANOR SUZANNE DUNN RN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 206 SUDDERTH DR
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City | RUIDOSO
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State | NM
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Zip | 88345-6001
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Country | US
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Telephone | 575-257-5038
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Fax | 575-257-2312
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Provider Business Mailing Address
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Address Line | 1900 10TH ST
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5053
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Country | US
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Telephone | 575-437-7404
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Fax | 575-439-2860
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R41599
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License Number State | NM
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