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General NPI Number Information
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NPI Number | 1750174496
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Entity Type | Organization
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Legal Business Name | EVERBLOOM THERAPY AND WELLNESS PLLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2829 MONTANA AVE STE L107
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City | EL PASO
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State | TX
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Zip | 79903-2431
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Country | US
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Telephone | 915-666-3504
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Fax | 915-499-5404
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Provider Business Mailing Address
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Address Line | 10324 CARDIGAN DR
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City | EL PASO
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State | TX
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Zip | 79925-1608
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Country | US
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Telephone | 915-328-0935
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEJANDRA SAENZ
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Credential | OTR
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Telephone | 915-328-0935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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