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General NPI Number Information
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NPI Number | 1063385227
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Entity Type | Organization
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Legal Business Name | ADOBE ROOTS HEALTH & WELLNESS
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 51 APACHE RIDGE RD
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City | SANTA FE
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State | NM
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Zip | 87505-8906
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Country | US
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Telephone | 505-470-1094
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Fax |
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Provider Business Mailing Address
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Address Line | 51 APACHE RIDGE RD
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City | SANTA FE
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State | NM
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Zip | 87505-8906
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Country | US
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Telephone | 505-470-1094
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Fax | 949-682-1198
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Authorized Official
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Title or Position | OWNER
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Name | MIRANDA NYRIE OAKELEY
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Credential | CNP
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Telephone | 505-470-1094
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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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