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General NPI Number Information
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NPI Number | 1326136003
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Entity Type | Individual
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Provider Name | THOMAS BERNARD FOLEY MOTRL
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 1641 CATRON AVE SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-4255
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Country | US
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Telephone | 505-550-0557
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Fax | 505-299-6558
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Provider Business Mailing Address
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Address Line | PO BOX 36204
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City | ALBUQUERQUE
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State | NM
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Zip | 87176
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Country | US
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Telephone | 505-550-0557
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Fax | 505-299-6558
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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 | 225XH1300X
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Taxonomy Name | Human Factors Occupational Therapist
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License Number | 1531
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License Number State | NM
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