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General NPI Number Information
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NPI Number | 1952170169
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Entity Type | Organization
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Legal Business Name | AFFORDABLE CHIROPRACTIC CARE LLC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 8206 LOUISIANA BLVD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1738
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Country | US
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Telephone | 505-554-6488
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Fax |
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Provider Business Mailing Address
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Address Line | 8204 VIA ENCANTADA NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-2768
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Country | US
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Telephone | 505-554-6488
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELINDA VAN STONE
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Credential | DC
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Telephone | 505-554-6488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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