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General NPI Number Information
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NPI Number | 1992964357
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Entity Type | Individual
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Provider Name | LYNDA ADROUCHE-AMRANI M.D
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 3917 WEST RD
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2275
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Country | US
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Telephone | 505-661-9226
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Fax | 505-661-9227
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | LOS ALAMOS
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State | NM
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Zip | 87544-0129
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Country | US
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Telephone | 505-661-9226
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Fax | 505-661-9227
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD2010-0220
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License Number State | NM
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