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General NPI Number Information
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NPI Number | 1225263288
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Entity Type | Organization
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Legal Business Name | STACI NOYES, D.C., P.C.
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 2808 E 20TH ST
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City | FARMINGTON
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State | NM
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Zip | 87402-4404
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Country | US
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Telephone | 505-327-9196
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Fax | 505-327-9178
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Provider Business Mailing Address
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Address Line | 2808 E. 20TH STREET
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City | FARMINGTON
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State | NM
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Zip | 87402
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Country | US
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Telephone | 505-327-9196
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Fax | 505-327-9178
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STACI RENEE NOYES
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Credential | D.C.
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Telephone | 505-327-9196
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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 | 1743
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License Number State | NM
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