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General NPI Number Information
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NPI Number | 1912513870
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Entity Type | Individual
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Provider Name | ARIEL A NUNEZ CNP
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Gender | Male
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 303 ROMA AVE NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2251
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Country | US
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Telephone | 505-289-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 RIO RANCHO DR SE # 262
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City | RIO RANCHO
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State | NM
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Zip | 87124-1006
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Country | US
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Telephone |
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 61479
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License Number State | NM
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