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General NPI Number Information
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NPI Number | 1376668236
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Entity Type | Individual
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Provider Name | ALIX PAMELA BJORKLUND D.O.M. DOCTOR OF ORI
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 2019 GALISTEO ST. STE. N-4
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-982-5156
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Fax | 505-982-2344
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Provider Business Mailing Address
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Address Line | 369 MONTEZUMA AVE. #418
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City | SANTA FE
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State | NM
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Zip | 87501
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Country | US
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Telephone | 505-982-5156
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Fax | 505-982-2344
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | NM316
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License Number State | NM
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