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General NPI Number Information
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NPI Number | 1740692755
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Entity Type | Organization
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Legal Business Name | SMOOTH QI, LLC
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Dates
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Enumeration Date | 05/24/2014
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 6739 ACADEMY RD NE SUITE 254
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3351
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Country | US
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Telephone | 505-440-8250
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Fax | 801-655-7382
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Provider Business Mailing Address
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Address Line | 6739 ACADEMY RD NE SUITE 254
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3351
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Country | US
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Telephone | 505-440-8250
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Fax | 801-655-7382
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Authorized Official
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Title or Position | DOCTOR OF ORIENTAL MEDICINE/CEO
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Name | DR. EMILY FERREIRA
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Credential | DOM
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Telephone | 505-440-8250
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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 | 1096
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License Number State | NM
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