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General NPI Number Information
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NPI Number | 1407917974
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Entity Type | Organization
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Legal Business Name | CONNERLY CHIROPRACTIC SERVICES INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 2074 GALISTEO ST STE B5
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City | SANTA FE
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State | NM
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Zip | 87505-2157
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Country | US
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Telephone | 505-988-8017
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Fax | 505-988-8018
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Provider Business Mailing Address
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Address Line | 2074 GALISTEO ST STE B5
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City | SANTA FE
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State | NM
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Zip | 87505-2157
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. MARGARET W CONNERLY
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Credential |
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Telephone | 505-988-8017
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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 | 1314
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License Number State | NM
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