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General NPI Number Information
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NPI Number | 1073472353
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Entity Type | Organization
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Legal Business Name | SANDIA VIEW WELLNESS LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 4101 BARBARA LOOP SE STE D
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City | RIO RANCHO
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State | NM
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Zip | 87124-1011
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Country | US
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Telephone | 505-891-2667
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 BARBARA LOOP SE STE D
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City | RIO RANCHO
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State | NM
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Zip | 87124-1011
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Country | US
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Telephone | 505-891-2667
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. EDWARD JAMES BUTLER
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Credential | DC
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Telephone | 505-203-6120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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