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General NPI Number Information
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NPI Number | 1780016600
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Entity Type | Organization
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Legal Business Name | PADILLA THERAPIES, INC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 1809 W RUNYAN AVE
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City | ARTESIA
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State | NM
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Zip | 88210-2551
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Country | US
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Telephone | 575-443-3046
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 W RUNYAN AVE
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City | ARTESIA
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State | NM
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Zip | 88210-2551
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Country | US
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Telephone | 575-443-3046
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Fax |
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Authorized Official
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Title or Position | M.S.,CCC/SLP
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Name | MR. CHRIS R. PADILLA
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Credential |
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Telephone | 575-443-3046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2673
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License Number State | NM
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