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General NPI Number Information
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NPI Number | 1134399314
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Entity Type | Organization
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Legal Business Name | CHINESE NATURAL HEALING CLINIC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 1517 EUBANK BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4112
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Country | US
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Telephone | 505-294-7368
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Fax | 505-294-7424
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Provider Business Mailing Address
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Address Line | 1517 EUBANK BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4112
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Country | US
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Telephone | 505-294-7368
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Fax | 505-294-7424
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Authorized Official
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Title or Position | OWNER
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Name | DR. XIAORONG LINDA LI
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Credential | DOM
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Telephone | 505-294-7368
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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 | 267
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License Number State | NM
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