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General NPI Number Information
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NPI Number | 1871608703
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Entity Type | Organization
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Legal Business Name | WILLIAM MCCONNELL MD LLC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7000 JEFFERSON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4313
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Country | US
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Telephone | 505-344-9478
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 RITA DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-1129
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Country | US
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Telephone | 505-268-1883
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NANCY E BAIRD
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Credential |
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Telephone | 505-771-9084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 85-244
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 85-244
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License Number State | NM
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