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General NPI Number Information
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NPI Number | 1578916797
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Entity Type | Individual
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Provider Name | MARGARET E VALDEZ PTA
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Gender | Female
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 5200 COPPER AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1473
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Country | US
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Telephone | 505-266-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 1492 CALLE CIELO VIS
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City | BERNALILLO
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State | NM
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Zip | 87004-9147
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Country | US
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Telephone | 505-818-3869
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A-1124
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License Number State | NM
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