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NPI 1033389986

NPI 1033389986 : MARLA ZEE WORTH P.T. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1033389986
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    Entity Type          |    Individual 
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    Provider Name        |    MARLA ZEE WORTH P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/06/2008
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    Last Update Date     |    03/06/2008
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Provider Practice Location Address
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    Address Line         |    9375 E BELL RD STE 107 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1541
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    Country              |    US
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    Telephone            |    480-515-1161
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    Fax                  |    480-515-1216
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Provider Business Mailing Address
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    Address Line         |    10936 E MEADOWHILL DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-1628
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    Country              |    US
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    Telephone            |    480-473-1516
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    Fax                  |    480-473-1508
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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       |    2360
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    License Number State |    AZ
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