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General NPI Number Information
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NPI Number | 1952626079
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Entity Type | Individual
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Provider Name | ERIC MUNOZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 601 DR MARTIN LUTHER KING JR AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3619
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Country | US
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Telephone | 505-298-0301
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4934
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City | ALBUQUERQUE
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State | NM
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Zip | 87196-4934
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Country | US
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Telephone | 505-298-0301
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 93288
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MC-263
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD043452
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License Number State | DC
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