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Contact Information

11.11, LLC
11724 COPPER PL NE
ALBUQUERQUE, NM87123
 Phone: 505-226-1276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for 1111 LLC · (Female)

NPI Number 1740708809
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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