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General NPI Number Information
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NPI Number | 1972167534
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Entity Type | Individual
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Provider Name | JEREMIAH JOHN CAREW DO
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Gender | Male
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 201 CEDAR ST SE STE 7600
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4921
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Country | US
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Telephone | 505-563-2500
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Fax | 505-563-2599
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Provider Business Mailing Address
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Address Line | PO BOX 26666
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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Country | US
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Telephone | 505-563-2500
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Fax | 505-563-2599
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | LL82127
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | DO2025-0039
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License Number State | NM
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