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General NPI Number Information
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NPI Number | 1326322785
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Entity Type | Organization
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Legal Business Name | ANSUMANA GEBEH MD, PA
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7000 JEFFERSON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4313
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Country | US
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Telephone | 310-310-5921
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Fax | 305-675-6465
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Provider Business Mailing Address
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Address Line | 7000 JEFFERSON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4313
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Country | US
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Telephone | 310-310-5921
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Fax | 305-675-6465
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDY HUMES
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Credential | MD
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Telephone | 310-310-5921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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