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General NPI Number Information
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NPI Number | 1225409378
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Entity Type | Organization
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Legal Business Name | ZUZANA DROBNIK
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 2100 FAIRWAY DR STE 104
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City | BOZEMAN
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State | MT
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Zip | 59715-5815
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Country | US
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Telephone | 406-570-8603
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162
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City | GALLATIN GATEWAY
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State | MT
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Zip | 59730-0162
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | ZUZANA DROBNIK
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Credential | LMT, BCTMB
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Telephone | 406-570-8603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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