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General NPI Number Information
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NPI Number | 1710881743
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Entity Type | Individual
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Provider Name | ALEXIS ZAMORA PTA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 2801 SUDDERTH DR STE C
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City | RUIDOSO
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State | NM
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Zip | 88345-6340
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Country | US
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Telephone | 575-808-8721
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Fax | 575-808-8723
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Provider Business Mailing Address
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Address Line | 307 10TH ST
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City | CARRIZOZO
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State | NM
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Zip | 88301-8009
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Country | US
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Telephone | 575-808-8721
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Fax | 575-808-8723
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PT-2026-0291
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License Number State | NM
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