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NPI 1932297348

NPI 1932297348 : ELEANOR P TOYA SW : SAN FIDEL, NM

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General NPI Number Information
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    NPI Number           |    1932297348
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    Entity Type          |    Individual 
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    Provider Name        |    ELEANOR P TOYA SW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    EXIT I 40 EXIT 102 ACL HOSPITAL
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    City                 |    SAN FIDEL
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    State                |    NM
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    Zip                  |    87049
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    Country              |    US
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    Telephone            |    505-552-5315
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    Fax                  |    505-552-5491
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Provider Business Mailing Address
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    Address Line         |    PO BOX 130 ACOMA CANONCITO LABRUNIA INDIAN HOSP
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    City                 |    SAN FIDEL
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    State                |    NM
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    Zip                  |    87049
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    Country              |    US
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    Telephone            |    505-552-5315
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    Fax                  |    505-552-5491
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    M2460
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    License Number State |    NM
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