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General NPI Number Information
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NPI Number | 1922208230
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Entity Type | Organization
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Legal Business Name | LUCIA CIES, M.D., P.C.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 435 SAINT MICHAELS DR STE B201
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City | SANTA FE
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State | NM
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Zip | 87505-7681
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Country | US
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Telephone | 505-983-1213
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Fax | 505-983-9546
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Provider Business Mailing Address
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Address Line | 435 SAINT MICHAELS DR STE B201
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City | SANTA FE
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State | NM
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Zip | 87505-7681
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Country | US
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Telephone | 505-983-1213
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Fax | 505-983-9546
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. NANCY GAGAN
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Credential |
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Telephone | 505-983-1213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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