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General NPI Number Information
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NPI Number | 1124882410
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Entity Type | Individual
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Provider Name | MARTY ADELMAN
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Gender | Male
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 5900 FOREST HILLS DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4129
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Country | US
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Telephone | 505-822-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 FOREST HILLS DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4129
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTA1706
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | PTA1706
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License Number State | NM
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