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General NPI Number Information
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NPI Number | 1043759566
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Entity Type | Individual
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Provider Name | MICHELLE CZUBA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 21045 N 9TH PL STE 204
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City | PHOENIX
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State | AZ
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Zip | 85024-5635
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Country | US
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Telephone | 602-726-2300
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Fax | 602-726-2322
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Provider Business Mailing Address
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Address Line | 21045 N 9TH PL STE 204
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City | PHOENIX
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State | AZ
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Zip | 85024-5635
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Country | US
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Telephone | 602-723-2300
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Fax | 602-726-2322
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6743
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License Number State | AZ
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