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NPI Code Detail

MEDICARE: VOCATIONAL TRAINING INSTITUTE

MEDICARE: VOCATIONAL TRAINING INSTITUTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1396049250
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOCATIONAL TRAINING INSTITUTE
Provider Business Mailing Address
First Line : 4400 CUTLER AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3935
Country : US
Telephone Number : 505-881-1234
Fax Number : 505-884-8371
Provider Business Practice Location Address
First Line : 4400 CUTLER AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3935
Country : US
Telephone Number : 505-881-1234
Fax Number : 505-884-8371
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. FRED FREEDMAN
Credential :
Telephone Number : 505-881-1234
Provider Enumeration Date : 01/06/2011
Last Update Date : 01/06/2011

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Directions to “VOCATIONAL TRAINING INSTITUTE ” Practice Location

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