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General NPI Number Information
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NPI Number | 1699801381
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Entity Type | Organization
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Legal Business Name | LANGFORD CONSULTING, INCORPORATED
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 242 MOUNTAIN RD
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City | GRANTS
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State | NM
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Zip | 87020-2602
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Country | US
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Telephone | 505-876-6030
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Fax | 505-876-6151
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Provider Business Mailing Address
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Address Line | 242 MOUNTAIN RD
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City | GRANTS
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State | NM
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Zip | 87020-2602
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Country | US
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Telephone | 505-876-6030
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Fax | 505-876-6151
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY LOU LANGFORD
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Credential | PT, BHS
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Telephone | 505-876-6030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 212
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License Number State | NM
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