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General NPI Number Information
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NPI Number | 1023944154
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Entity Type | Individual
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Provider Name | JIALIN HU
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Gender |
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 2211 MAIN ST NE STE C
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City | LOS LUNAS
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State | NM
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Zip | 87031-6372
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Country | US
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Telephone | 505-866-1677
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Fax |
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Provider Business Mailing Address
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Address Line | 1831 CAMINO CANTERA SW
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City | LOS LUNAS
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State | NM
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Zip | 87031-8178
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Country | US
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Telephone | 541-912-9376
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-2026-0181
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License Number State | NM
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