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General NPI Number Information
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NPI Number | 1497265086
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Entity Type | Organization
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Legal Business Name | OASIS FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2621 COORS BLVD NW STE D
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1729
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Country | US
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Telephone | 608-434-2404
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Fax |
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Provider Business Mailing Address
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Address Line | 6908 PORLAMAR RD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-6067
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Country | US
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Telephone | 608-434-2404
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAYLYN WEBER
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Credential | DC
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Telephone | 608-434-2404
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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 | 2130
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License Number State | NM
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