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General NPI Number Information
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NPI Number | 1154723294
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Entity Type | Organization
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Legal Business Name | JANE VOLKMER
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 6109 JAMERS DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3217
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Country | US
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Telephone | 505-750-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 6109 JAMERS DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3217
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Country | US
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Telephone | 505-750-4490
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST LICENSED
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Name | MS. JANE ANNE VOLKMER
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Credential | LMT
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Telephone | 505-750-4490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 6027
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License Number State | NM
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