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General NPI Number Information
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NPI Number | 1871969808
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Entity Type | Organization
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Legal Business Name | ENDPOINT WELLNESS HOLDINGS, INC.
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 2730 SAN PEDRO DR NE B2
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3334
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Country | US
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Telephone | 505-433-2054
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Fax | 505-214-5659
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Provider Business Mailing Address
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Address Line | 2730 SAN PEDRO DR NE B2
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3334
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Country | US
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Telephone | 505-433-2054
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Fax | 505-214-5659
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Authorized Official
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Title or Position | PRESIDENT, DO M
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Name | DR. GEOFFREY N HAYES
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Credential | DOM
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Telephone | 505-433-2054
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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 | 1161
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License Number State | NM
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