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NPI 1447624879

NPI 1447624879 : AICHA BECH FROESCHLE PT : ANGEL FIRE, NM

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General NPI Number Information
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    NPI Number           |    1447624879
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    Entity Type          |    Individual 
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    Provider Name        |    AICHA BECH FROESCHLE PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/23/2015
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    Last Update Date     |    01/24/2024
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Provider Practice Location Address
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    Address Line         |    56 CAMINO GRANDE 
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    City                 |    ANGEL FIRE
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    State                |    NM
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    Zip                  |    87710
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    Country              |    US
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    Telephone            |    505-376-2445
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1276 
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    City                 |    EL PRADO
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    State                |    NM
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    Zip                  |    87529-1276
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    Country              |    US
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    Telephone            |    575-779-1538
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    Fax                  |    
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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        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    3927
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    3927
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    License Number State |    NM
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