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General NPI Number Information
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NPI Number | 1891536892
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Entity Type | Organization
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Legal Business Name | RXTEQ LLC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 1400 S 2ND ST
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City | RATON
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State | NM
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Zip | 87740-2102
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Country | US
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Telephone | 505-225-3020
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Fax | 505-212-5265
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Provider Business Mailing Address
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Address Line | 8206 LOUISIANA BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1738
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Country | US
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Telephone | 505-225-3020
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Fax | 505-212-5265
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | MARCIA HEFKER
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Credential |
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Telephone | 505-225-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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