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General NPI Number Information
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NPI Number | 1609006469
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Entity Type | Individual
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Provider Name | NINA KALIN L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 1229 OSAGE AVE
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City | SANTA FE
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State | NM
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Zip | 87505-3322
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Country | US
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Telephone | 505-920-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 OSAGE AVE
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City | SANTA FE
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State | NM
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Zip | 87505-3322
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Country | US
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Telephone | 505-920-8404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1764
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License Number State | NM
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