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General NPI Number Information
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NPI Number | 1033928627
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Entity Type | Organization
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Legal Business Name | ZIA WELLNESS, LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 3201 N RIDGE LOOP DR
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City | SILVER CITY
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State | NM
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Zip | 88061-7243
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Country | US
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Telephone | 575-956-6390
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 N RIDGE LOOP DR
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City | SILVER CITY
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State | NM
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Zip | 88061-7243
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Country | US
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Telephone | 575-956-6390
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Fax |
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | JANET SALCIDO
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Credential | FNP-C
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Telephone | 575-640-7548
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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 |
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License Number State |
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