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General NPI Number Information
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NPI Number | 1174096077
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Entity Type | Individual
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Provider Name | HEATHER TURNER MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 2301 YALE BLVD SE STE A3
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4350
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Country | US
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Telephone | 505-385-8028
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Fax | 855-254-6287
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Provider Business Mailing Address
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Address Line | 90 TABLAZON RD
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City | TIJERAS
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State | NM
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Zip | 87059-7464
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Country | US
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Telephone | 505-316-1530
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4000
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License Number State | NM
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