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General NPI Number Information
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NPI Number | 1487526513
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Entity Type | Organization
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Legal Business Name | AMORE DOMENICA
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1020 SAN PEDRO DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6722
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Country | US
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Telephone | 505-234-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 11723 GALLANT FOX RD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-2591
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Country | US
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Telephone | 505-234-6188
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Fax |
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Authorized Official
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Title or Position | OWNER/MASSAGE THERAPIST
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Name | MR. RICHARD ANDREW HOLDERRIED
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Credential |
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Telephone | 505-234-6188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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