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General NPI Number Information
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NPI Number | 1972836419
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Entity Type | Organization
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Legal Business Name | LA CUEVA FAMILY HEALTHCARE INC
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 8224 LOUISIANA BLVD NE SUITE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2107
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Country | US
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Telephone | 505-299-1996
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Fax |
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Provider Business Mailing Address
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Address Line | 8224 LOUISIANA BLVD NE SUITE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2107
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Country | US
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Telephone | 505-299-1996
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | GEOFFREY D STEFFENS
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Credential | CFNP
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Telephone | 505-299-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R55046
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R34317
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License Number State | NM
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