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General NPI Number Information
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NPI Number | 1194865212
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Entity Type | Organization
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Legal Business Name | ONE STEP BEYOND, INC.
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 21 SANDS LANE
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City | SANTA FE
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State | NM
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Zip | 87507-9641
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Country | US
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Telephone | 505-438-2960
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Fax | 505-438-2960
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Provider Business Mailing Address
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Address Line | 21 SANDS LANE
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City | SANTA FE
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State | NM
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Zip | 87507-9641
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Country | US
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Telephone | 505-438-2960
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Fax | 505-438-2960
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Authorized Official
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Title or Position | TREASURER
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Name | IRENE PLUIMMENTZ
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Credential | PT
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Telephone | 505-438-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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