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General NPI Number Information
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NPI Number | 1821113820
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Entity Type | Organization
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Legal Business Name | TIM SLEIGH MANUAL THERAPY SERVICES
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 BRYN MAWR DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2004
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Country | US
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Telephone | 505-262-4082
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 BRYN MAWR DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2004
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Country | US
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Telephone | 505-262-4082
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TIM D SLEIGH
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Credential | OT
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Telephone | 505-262-4082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 175
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License Number State | NM
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