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NPI 1871023044

NPI 1871023044 : REBEKAH LEANN FRENCH : AZTEC, NM

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General NPI Number Information
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    NPI Number           |    1871023044
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    Entity Type          |    Individual 
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    Provider Name        |    REBEKAH LEANN FRENCH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/19/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    120 LLANO ST 
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    City                 |    AZTEC
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    State                |    NM
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    Zip                  |    87410
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    Country              |    US
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    Telephone            |    505-334-3404
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    Fax                  |    505-334-3486
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6210 
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    City                 |    FARMINGTON
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    State                |    NM
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    Zip                  |    87499-6210
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    Country              |    US
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    Telephone            |    505-609-2258
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    Fax                  |    505-609-2259
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    CNP-03256
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    License Number State |    NM
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