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General NPI Number Information
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NPI Number | 1003577842
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Entity Type | Individual
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Provider Name | REBECCA E HAYES LMT
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Gender | Female
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 187D UNIT 6, TRES PIEDRAS ESTATES 187 LOT D, UNIT 6
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City | TRES PIEDRAS
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State | NM
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Zip | 87577
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Country | US
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Telephone | 575-999-1395
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 PASEO DEL PUEBLO SUR # 173
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City | TAOS
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State | NM
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Zip | 87571-7231
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Country | US
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Telephone | 575-999-1395
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT9540
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License Number State | NM
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