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General NPI Number Information
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NPI Number | 1013879337
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Entity Type | Individual
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Provider Name | MAJA VAZIC PTA
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 806 E AVENUE D STE B&C
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City | COPPERAS COVE
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State | TX
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Zip | 76522-2284
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Country | US
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Telephone | 254-577-4938
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Fax |
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Provider Business Mailing Address
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Address Line | 5576 W ROCHELLE AVE APT 16C
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City | LAS VEGAS
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State | NV
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Zip | 89103-3414
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Country | US
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Telephone | 702-523-8727
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A-1681
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PT-2025-0272
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License Number State | NM
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