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General NPI Number Information
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NPI Number | 1639429632
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 3600 CERRILLOS RD SUITE 503A
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City | SANTA FE
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State | NM
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Zip | 87507-2612
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Country | US
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Telephone | 505-983-1226
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Fax | 606-953-1226
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Provider Business Mailing Address
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Address Line | 3600 CERRILLOS RD SUITE 503A
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City | SANTA FE
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State | NM
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Zip | 87507-2612
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Country | US
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Telephone | 505-983-1226
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Fax | 606-953-1226
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Authorized Official
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Title or Position | OWNER
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Name | DR. JIMMIE MCCLURE
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Credential | D.C.
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Telephone | 505-983-1226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 955
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License Number State | NM
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