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General NPI Number Information
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NPI Number | 1942021738
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Entity Type | Organization
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Legal Business Name | RIGHTS OF PASSAGE, INC.
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 2300 W ALAMEDA ST APT B3
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City | SANTA FE
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State | NM
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Zip | 87507-9656
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Country | US
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Telephone | 505-660-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 CORDOVA PL PMB 65
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-660-1446
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | KEVIN MALONE
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Credential | J.D.
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Telephone | 202-861-1859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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