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General NPI Number Information
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NPI Number | 1265089304
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Entity Type | Organization
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Legal Business Name | MODERN MEDICINE
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 3908 JUAN TABO BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3971
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Country | US
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Telephone | 505-363-1428
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 JUAN TABO BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3971
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Country | US
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Telephone | 505-363-1428
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. STEVEN E BENNETT
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Credential | DOM
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Telephone | 505-363-1428
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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 |
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License Number State |
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