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NPI Code Detail

MEDICARE: CARMEN RODRIGO LPAT

MEDICARE: CARMEN RODRIGO LPAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor2696NM

General Provider Information

NPI Number : 1174715528
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN RODRIGO LPAT
Provider Business Mailing Address
First Line : 5310 SEQUOIA RD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1249
Country : US
Telephone Number : 505-836-7330
Fax Number : 505-836-7424
Provider Business Practice Location Address
First Line : 5310 SEQUOIA RD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1249
Country : US
Telephone Number : 505-836-7330
Fax Number : 505-836-7424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2007
Last Update Date : 08/09/2007

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Directions to “ CARMEN RODRIGO LPAT” Practice Location

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