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General NPI Number Information
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NPI Number | 1295584431
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Entity Type | Individual
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Provider Name | ZACHARY STEVEN MUCHA
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Gender | Male
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Dates
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Enumeration Date | 05/17/2024
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 6243 RETAIL RD STE 600
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City | DALLAS
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State | TX
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Zip | 75231-7869
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Country | US
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Telephone | 214-890-9853
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 LOMA DIAMANTE DR
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City | EL PASO
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State | TX
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Zip | 79934-3804
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Country | US
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Telephone | 915-443-2005
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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 |
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License Number State |
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