NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1699221366				PIVOTAL TREATMENT GROUP, LLC	2549 TWIN BUTTES DR NE	RIO RANCHO	NM	871446742
1457592255	LOPEZ	MARTINE	T		2549 TWIN BUTTES DR NE	RIO RANCHO	NM	871446742

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