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General NPI Number Information
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NPI Number | 1861450579
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Entity Type | Organization
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Legal Business Name | OTERO COUNTY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 2669 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8700
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Country | US
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Telephone | 575-443-7403
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Fax |
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Provider Business Mailing Address
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Address Line | 2669 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8700
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Country | US
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Telephone | 575-439-6100
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ROBERT J HECKERT
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Credential |
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Telephone | 575-443-7845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 6016
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 6016
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 6016
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License Number State | NM
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