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General NPI Number Information
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NPI Number | 1376021675
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Entity Type | Individual
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Provider Name | NICOLE MUZZY PT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | UNIT 14010 BLDG 26012 ANDERSEN AFB GUAM
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City | APO
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State | AP
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Zip | 96543-4003
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Country | US
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Telephone | 671-366-4099
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 14010 BLDG 26012 ANDERSEN AFB GUAM
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City | APO
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State | AP
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Zip | 96543-4003
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Country | US
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Telephone | 952-913-5718
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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 | 012972
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License Number State | AZ
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