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General NPI Number Information
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NPI Number | 1043011927
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Entity Type | Organization
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Legal Business Name | ALBUQUERQUE REHABILITATION HOSPITAL LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1100 WOODWARE PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2704
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Country | US
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Telephone | 469-640-6503
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Fax |
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Provider Business Mailing Address
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Address Line | 450 CENTURY PKWY STE 220
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City | ALLEN
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State | TX
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Zip | 75013-8135
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Country | US
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Telephone | 469-640-6500
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | TRACEY NIXON
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Credential |
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Telephone | 469-640-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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