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General NPI Number Information
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NPI Number | 1275322547
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Entity Type | Individual
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Provider Name | MAKIAH PODBIELSKI
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Gender | Female
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Dates
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Enumeration Date | 05/03/2025
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 720 ROBB DR STE 103
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City | RENO
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State | NV
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Zip | 89523-3733
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Country | US
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Telephone | 775-787-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 12260 HIGH VISTA DR
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City | RENO
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State | NV
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Zip | 89511-4400
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Country | US
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Telephone | 907-715-7620
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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 | A-1748
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License Number State | NV
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