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General NPI Number Information
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NPI Number | 1912585688
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Entity Type | Individual
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Provider Name | GISELLE IRIO DO
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 2669 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8700
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Country | US
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Telephone | 575-439-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 2669 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8799
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Country | US
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Telephone | 575-439-6100
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | CS02325093
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO2024-0098
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License Number State | NM
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