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General NPI Number Information
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NPI Number | 1679578066
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Entity Type | Organization
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Legal Business Name | REHABILITATION HOSPITAL OF SOUTHERN NEW MEXICO, INC
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 4441 E LOHMAN AVE
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City | LAS CRUCES
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State | NM
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Zip | 88011-8267
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Country | US
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Telephone | 505-521-6400
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Fax | 505-521-6423
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Provider Business Mailing Address
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Address Line | 1024 N GALLOWAY AVE STE 102
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City | MESQUITE
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State | TX
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Zip | 75149-2434
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Country | US
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Telephone | 972-216-2299
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT AND SECRETARY
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Name | DENISE KANN
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Credential |
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Telephone | 972-216-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 3182
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License Number State | NM
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