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General NPI Number Information
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NPI Number | 1669345716
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Entity Type | Organization
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Legal Business Name | DYNAMIC REHAB SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 613 W 2ND ST STE 1-5
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City | ROSWELL
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State | NM
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Zip | 88201-4671
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Country | US
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Telephone | 575-840-3879
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Fax | 866-337-2718
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Provider Business Mailing Address
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Address Line | 613 W 2ND ST STE 1-5
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City | ROSWELL
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State | NM
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Zip | 88201-4671
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | KEVINRAY MUNOZ
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Credential |
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Telephone | 575-840-3879
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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 |
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License Number State |
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