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NPI Code Detail

MEDICARE: TERESA MANDUCHI

MEDICARE: TERESA MANDUCHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1265880447
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA MANDUCHI
Provider Business Mailing Address
First Line : 6565 AMERICAS PKWY NE STE 200
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-8172
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6565 AMERICAS PKWY NE STE 200
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-8172
Country : US
Telephone Number : 866-273-2451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2016
Last Update Date : 08/04/2016

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Directions to “ TERESA MANDUCHI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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