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General NPI Number Information
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NPI Number | 1871481648
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Entity Type | Organization
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Legal Business Name | SIMPLICITY HEALTH OF ALMAGORDO LLC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1200 N WHITE SANDS BLVD STE 110
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6774
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Country | US
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Telephone | 575-488-0030
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Fax | 575-488-0032
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Provider Business Mailing Address
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Address Line | 74 FORSYTH RD
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City | ALAMOGORDO
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State | NM
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Zip | 88310-9656
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Country | US
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Telephone | 575-405-9453
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Fax | 575-488-0032
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | CLAUDIA ENRIQUEZ
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Credential | NURSE PRACTITIONER
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Telephone | 575-488-0030
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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 |
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License Number State |
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