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General NPI Number Information
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NPI Number | 1841780368
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Entity Type | Organization
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Legal Business Name | PTCARES PHYSIOTHERAPY AND WELLNESS
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 4312 CARLISLE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-4811
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Country | US
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Telephone | 505-908-3430
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Fax | 505-445-4400
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Provider Business Mailing Address
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Address Line | PO BOX 35734
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City | ALBUQUERQUE
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State | NM
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Zip | 87176-5734
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Country | US
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Telephone | 505-908-5553
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SHENG WU
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Credential | DPT
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Telephone | 505-908-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3771
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License Number State | NM
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