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General NPI Number Information
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NPI Number | 1679868780
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Entity Type | Organization
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Legal Business Name | IN YOUR ATMOSPHERE HOLDINGS LLC
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 1676 HOSPITAL DR
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City | SANTA FE
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State | NM
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Zip | 87505-4754
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Country | US
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Telephone | 505-983-7169
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Fax | 505-983-7179
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Provider Business Mailing Address
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Address Line | 1676 HOSPITAL DR
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City | SANTA FE
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State | NM
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Zip | 87505-4754
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Country | US
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Telephone | 505-983-7169
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Fax | 505-983-7179
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MISTY APPLING
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Credential | PHARMD
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Telephone | 940-395-6076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH00003706
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License Number State | NM
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