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General NPI Number Information
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NPI Number | 1588032130
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Entity Type | Organization
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Legal Business Name | SENSE-ABLE THERAPY LLC
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 1751 BELLAMAH AVE NW SUITE 1103
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-2207
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Country | US
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Telephone | 505-459-2180
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 CAMINO DE LA SIERRA NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-5601
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Country | US
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Telephone | 505-459-2180
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Fax | 505-212-0772
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Authorized Official
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Title or Position | MANAGER AND OWNER
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Name | KRISTINA M KEENAN
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Credential | MOTR/L
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Telephone | 505-459-2180
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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 | 2350
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License Number State | NM
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