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General NPI Number Information
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NPI Number | 1518641091
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Entity Type | Organization
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Legal Business Name | RHIZOME HEALTH, LLC
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 9301 INDIAN SCHOOL RD NE STE 106
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2862
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Country | US
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Telephone | 505-365-0090
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Fax | 505-349-4920
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Provider Business Mailing Address
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Address Line | 9301 INDIAN SCHOOL RD NE STE 106
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2862
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Country | US
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Telephone | 505-365-0090
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Fax | 505-359-4920
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAVEN JOYCE HARLEY
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Credential | D.O.M.
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Telephone | 505-523-7611
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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 |
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License Number State |
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