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General NPI Number Information
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NPI Number | 1861602831
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Entity Type | Organization
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Legal Business Name | TALENTO ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 711 ENCINO PL NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2652
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Country | US
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Telephone | 505-243-8058
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Fax | 505-243-8057
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Provider Business Mailing Address
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Address Line | 711 ENCINO PL NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2652
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Country | US
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Telephone | 505-243-8058
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Fax | 505-243-8057
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BARB CHASE
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Credential |
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Telephone | 505-243-8058
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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 |
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License Number State |
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