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General NPI Number Information
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NPI Number | 1871927863
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Entity Type | Individual
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Provider Name | MIREYA BECERRA CFNP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8201 GOLF COURSE RD NW STE D
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-5842
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Country | US
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Telephone | 505-800-7070
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 92405
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City | ALBUQUERQUE
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State | NM
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Zip | 87199-2405
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Country | US
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Telephone | 505-280-6707
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Fax | 505-298-3939
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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-02231
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP 02231
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License Number State | NM
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