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General NPI Number Information
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NPI Number | 1992942452
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Entity Type | Individual
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Provider Name | NICOLE BARNARD D.O.M.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2901 JUAN TABO BLVD NE STE 117
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1885
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Country | US
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Telephone | 505-275-9602
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 JUAN TABO BLVD NE STE 117
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1885
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Country | US
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Telephone | 404-695-0842
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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