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General NPI Number Information
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NPI Number | 1851478515
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Entity Type | Individual
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Provider Name | CARLA ANN CURTIS-KLINGER PA
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 1235 8TH ST
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City | LAS VEGAS
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State | NM
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Zip | 87701-4219
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Country | US
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Telephone | 505-425-6788
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Fax | 505-425-5408
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Provider Business Mailing Address
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Address Line | PO BOX 158 ECFH CREDENTIALING DEPT
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City | ESPANOLA
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State | NM
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Zip | 87532-0158
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Country | US
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Telephone | 505-753-7218
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Fax | 505-753-5815
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00874
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License Number State | OR
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