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General NPI Number Information
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NPI Number | 1053183020
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Entity Type | Individual
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Provider Name | ZACHARY ADAM MUYE PT, DPT.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 4247 W RIDGE RD STE 104
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City | ERIE
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State | PA
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Zip | 16506-1746
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Country | US
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Telephone | 814-833-7249
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Fax | 814-838-2661
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Provider Business Mailing Address
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Address Line | 9433 DEWEY RD
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City | WATERFORD
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State | PA
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Zip | 16441-2415
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Country | US
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Telephone | 814-528-6109
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | TX61505966
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT031585
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License Number State | PA
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