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General NPI Number Information
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NPI Number | 1720301179
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Entity Type | Organization
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Legal Business Name | SUNFLOWER WELLNESS CENTER LLC
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 1925 ASPEN DRIVE 900A
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-490-6370
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 ASPEN DRIVE 900A
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-490-6370
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMILY MAIA FRANKLIN
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Credential | DOM
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Telephone | 505-490-6370
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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 | 839
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License Number State | NM
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