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General NPI Number Information
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NPI Number | 1871688184
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Entity Type | Organization
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Legal Business Name | DEL VALLE PHYSICAL THERAPY AND REHABILITATION
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2445 MISSOURI AVE SUITE A
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City | LAS CRUCES
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State | NM
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Zip | 88001-5111
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Country | US
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Telephone | 575-523-8080
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Fax | 575-523-8861
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Provider Business Mailing Address
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Address Line | 2445 MISSOURI AVE SUITE A
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City | LAS CRUCES
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State | NM
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Zip | 88001-5111
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Country | US
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Telephone | 505-523-8080
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Fax | 505-523-8861
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK A FIGUEROA
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Credential | PT
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Telephone | 575-523-8080
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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