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General NPI Number Information
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NPI Number | 1669504643
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Entity Type | Individual
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Provider Name | ROSELLE GARCIA OSTENDORF PT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3301 COORS BLVD NW SUITE K-2
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1229
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Country | US
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Telephone | 505-843-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 10168 MENAUL BLVD NE S8
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2386
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Country | US
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Telephone | 505-850-9665
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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 | 3128
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License Number State | NM
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