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General NPI Number Information
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NPI Number | 1780976431
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Entity Type | Organization
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Legal Business Name | NOLIMITZ PRODUCTION INC
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 9100 LUNA DEL ORO RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1641
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Country | US
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Telephone | 505-797-3228
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Fax | 505-797-3219
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Provider Business Mailing Address
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Address Line | 9100 LUNA DEL ORO RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1641
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Country | US
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Telephone | 505-797-3228
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Fax | 505-797-3219
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Authorized Official
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Title or Position | OWNER
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Name | SUZANNE LOPEZ
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Credential | MFCT
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Telephone | 505-797-3228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0094281
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License Number State | NM
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