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General NPI Number Information
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NPI Number | 1902783483
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Entity Type | Organization
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Legal Business Name | WISE AND WELL NATURAL AND MEDICAL INTEGRATIVE CLINIC LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 9301 INDIAN SCHOOL RD NE STE 206
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2861
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Country | US
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Telephone | 505-372-0858
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Fax | 505-209-7905
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Provider Business Mailing Address
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Address Line | 9301 INDIAN SCHOOL RD NE STE 206
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2861
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Country | US
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Telephone | 505-372-0858
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Fax | 505-209-7905
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Authorized Official
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Title or Position | CO-OWNER, CLINIC & MEDICAL DIRECTOR
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Name | MS. HOPE JESSICA MONTOYA
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Credential | NP-C
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Telephone | 505-718-9049
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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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