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General NPI Number Information
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NPI Number | 1144366980
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Entity Type | Organization
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Legal Business Name | RDH OCCUPATIONAL THERAPY, P.C.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 107 ROME LN
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City | CORRALES
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State | NM
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Zip | 87048-9076
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Country | US
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Telephone | 505-265-4906
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Fax | 505-265-9146
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Provider Business Mailing Address
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Address Line | PO BOX 3002
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City | CORRALES
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State | NM
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Zip | 87048-3002
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Country | US
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Telephone | 505-265-4906
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Fax | 505-265-9146
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Authorized Official
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Title or Position | PRESIDENT, RDH OT PC
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Name | MR. ROBERT DARYL HOBBS
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Credential | OT
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Telephone | 505-265-4906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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