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NPI 1972676864

NPI 1972676864 : VALERIE WITTMEIER MORGENSTERN M.S., D.P.T., CEEAA : SANTA FE, NM

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General NPI Number Information
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    NPI Number           |    1972676864
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE WITTMEIER MORGENSTERN M.S., D.P.T., CEEAA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    12/21/2021
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Provider Practice Location Address
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    Address Line         |    404 BRUNN SCHOOL RD STE D 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87505-1102
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    Country              |    US
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    Telephone            |    505-983-0670
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    Fax                  |    505-983-0118
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Provider Business Mailing Address
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    Address Line         |    3408 CALLEJON NORTE 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87507-9228
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    Country              |    US
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    Telephone            |    505-469-5756
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    4258
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    6367
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    License Number State |    CO
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