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General NPI Number Information
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NPI Number | 1740021245
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Entity Type | Organization
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Legal Business Name | CHRISTI ALSOP, DOM, LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 228 S SAINT FRANCIS DR STE B
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City | SANTA FE
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State | NM
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Zip | 87501-2802
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Country | US
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Telephone | 505-913-9556
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 CORDOVA PL # 570
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City | SANTA FE
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State | NM
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Zip | 87505-1725
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Country | US
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Telephone | 505-913-9556
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA ALSOP
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Credential | DOM
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Telephone | 505-913-9556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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