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General NPI Number Information
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NPI Number | 1386005734
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Entity Type | Organization
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Legal Business Name | CLIMBING TREE THERAPY
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 2301 YALE BLVD SE SUITE A3
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4228
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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 | 14107 SKYLINE RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-2333
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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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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL HUGHES
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Credential | MOTR/L
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Telephone | 505-385-8028
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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 |
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License Number State |
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