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General NPI Number Information
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NPI Number | 1053522979
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Entity Type | Individual
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Provider Name | KATHRINE CHRISTINE KOVACH-ZUKIN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 14410 BRAD DR
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City | ROCKVILLE
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State | MD
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Zip | 20853-2151
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Country | US
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Telephone | 906-748-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 14410 BRAD DR
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City | ROCKVILLE
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State | MD
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Zip | 20853-2151
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Country | US
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Telephone | 906-748-1050
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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 |
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License Number State |
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