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General NPI Number Information
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NPI Number | 1972469112
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Entity Type | Organization
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Legal Business Name | AMMJO CARE SERVICES
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 3112 ANDERSON RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-1483
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Country | US
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Telephone | 202-706-0905
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 ANDERSON RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-1483
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Country | US
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Telephone | 202-706-0905
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MBE TAYOURH
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Credential |
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Telephone | 832-252-9286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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