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General NPI Number Information
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NPI Number | 1477413391
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Entity Type | Individual
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Provider Name | ALYSSA JOY WEST
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1127 UNIVERSITY BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1715
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Country | US
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Telephone | 505-272-5335
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Fax | 505-272-4232
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Provider Business Mailing Address
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Address Line | 5400 CAMINO MONTANO NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-5729
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Country | US
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Telephone | 505-272-5335
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Fax | 505-272-4232
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-2025-0137
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License Number State | NM
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