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General NPI Number Information
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NPI Number | 1043781461
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Entity Type | Organization
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Legal Business Name | LEVEL ACUPUNCTURE AND WELLNESS LLC
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Dates
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Enumeration Date | 12/11/2018
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 9798 COORS BLVD NW BLDG D
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-6133
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Country | US
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Telephone | 505-814-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 6115 WOODHOLLOW PL NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-2620
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Country | US
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Telephone | 505-228-2356
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Fax |
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Authorized Official
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Title or Position | DOM, L. AC
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Name | ERIC S SALAZAR
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Credential | L. AC
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Telephone | 505-228-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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