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General NPI Number Information
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NPI Number | 1942005665
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Entity Type | Organization
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Legal Business Name | NM SANTA FE PT INVESTMENT LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3 CALIENTE RD
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City | SANTA FE
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State | NM
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Zip | 87508-9209
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Country | US
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Telephone | 505-466-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 940 S KIMBALL AVE STE 175
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City | SOUTHLAKE
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State | TX
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Zip | 76092-9024
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Country | US
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Telephone | 713-591-2256
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JULIE RADLEY
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Credential |
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Telephone | 713-591-2256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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