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NPI 1346455037

NPI 1346455037 : ABLE STRIDES LLC : ALBUQUERQUE, NM

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General NPI Number Information
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    NPI Number           |    1346455037
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABLE STRIDES LLC 
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Dates
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    Enumeration Date     |    05/14/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    5237 RUSSELL DR NW 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87114-4326
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    Country              |    US
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    Telephone            |    505-235-7922
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    Fax                  |    505-635-4112
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Provider Business Mailing Address
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    Address Line         |    5237 RUSSELL DR NW 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87114-4326
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    Country              |    US
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    Telephone            |    505-235-7922
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    Fax                  |    505-635-4112
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Authorized Official
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    Title or Position    |    OWNER REHAB DIRECTOR
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    Name                 |    MRS. REBECCA JILL MARTINEZ 
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    Credential           |    OTL
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    Telephone            |    505-235-7922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    1889
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    486
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    License Number State |    NM
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    985
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    License Number State |    NM
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