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General NPI Number Information
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NPI Number | 1063637593
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Entity Type | Individual
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Provider Name | LAURA SENA
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 8 CALLE MEDICO SUITE 1
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City | SANTA FE
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State | NM
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Zip | 87505-4724
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Country | US
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Telephone | 505-424-8777
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Fax | 505-424-9777
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Provider Business Mailing Address
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Address Line | 8 CALLE MEDICO SUITE 1
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City | SANTA FE
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State | NM
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Zip | 87505-4724
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Country | US
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Telephone | 505-424-8777
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Fax | 505-424-9777
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 027
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License Number State | NM
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