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General NPI Number Information
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NPI Number | 1942349469
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Entity Type | Organization
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Legal Business Name | GREGORY & ASSOCIATES
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 219 CAVALRY ROAD
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City | TAOS
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State | NM
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Zip | 87571
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Country | US
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Telephone | 575-758-2902
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Fax |
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Provider Business Mailing Address
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Address Line | 931 CALLE CONQUISTADOR
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City | TAOS
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State | NM
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Zip | 87571-4346
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Country | US
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Telephone | 575-758-2902
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Fax | 575-758-5050
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Authorized Official
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Title or Position | CEO
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Name | PAMELA GREGORY
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Credential |
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Telephone | 218-298-0908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 77238508
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 41281314
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License Number State | NM
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