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General NPI Number Information
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NPI Number | 1033413158
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Entity Type | Individual
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Provider Name | BLERIM DIBRA DPT, LMT
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Gender | Male
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 4120 KING AVE W STE 1
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City | BILLINGS
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State | MT
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Zip | 59106-2927
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Country | US
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Telephone | 406-707-6082
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Fax | 888-383-2362
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Provider Business Mailing Address
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Address Line | 4120 KING AVE W STE 1
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City | BILLINGS
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State | MT
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Zip | 59106-2927
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Country | US
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Telephone | 406-707-6082
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Fax | 888-383-2362
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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 | PT26142
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT26142
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License Number State | FL
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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 | PTP-PT-LIC-25182
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License Number State | MT
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