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General NPI Number Information
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NPI Number | 1477348886
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Entity Type | Organization
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Legal Business Name | SHANTI HEALING ARTS LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 3738 ISLETA BLVD SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-5920
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Country | US
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Telephone | 505-681-2595
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 LA MORA LN SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-5937
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Country | US
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Telephone | 505-681-2595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TINA HERRERA
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Credential | LMT
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Telephone | 505-681-2595
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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