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General NPI Number Information
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NPI Number | 1609829571
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Entity Type | Individual
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Provider Name | LANCE ALLEE
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 8814 HORIZON BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1689
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Country | US
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Telephone | 505-828-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 10836 ROCKY MOUNTAIN DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-3565
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Country | US
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Telephone | 505-792-2325
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3207
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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 | 361183-2401
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License Number State | UT
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