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General NPI Number Information
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NPI Number | 1609967801
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Entity Type | Individual
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Provider Name | PATRICIA A WHITESEL OT
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1501 SAN PEDRO DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5153
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Country | US
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Telephone | 505-265-1711
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Fax | 505-256-6414
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Provider Business Mailing Address
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Address Line | 9101 DEMPSEY DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6334
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Country | US
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Telephone | 505-463-6452
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Fax | 505-256-6414
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1140
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License Number State | NM
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