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NPI 1194279703

NPI 1194279703 : KATHERINE ALBERT ZISK DPT : HILLSBOROUGH, NC

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General NPI Number Information
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    NPI Number           |    1194279703
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE ALBERT ZISK DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2016
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    Last Update Date     |    11/12/2024
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Provider Practice Location Address
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    Address Line         |    101 MEADOWLANDS DR 
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    City                 |    HILLSBOROUGH
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    State                |    NC
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    Zip                  |    27278-8500
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    Country              |    US
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    Telephone            |    919-732-6600
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    Fax                  |    919-732-2779
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Provider Business Mailing Address
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    Address Line         |    5221 PARAMOUNT PKWY STE 420 
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-5491
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    Country              |    US
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    Telephone            |    984-215-6533
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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       |    070022358
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    License Number State |    IL
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