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General NPI Number Information
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NPI Number | 1891027512
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Entity Type | Individual
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Provider Name | MARK EDWARD POLHEMUS MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 715 DR MARTIN LUTHER KING JR AVE NE STE 201
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3667
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Country | US
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Telephone | 505-727-3020
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Fax | 505-727-9590
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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Country | US
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Telephone | 505-272-1476
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Fax | 505-727-9590
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 261872
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD2022-1151
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License Number State | NM
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