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General NPI Number Information
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NPI Number | 1376897561
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Entity Type | Individual
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Provider Name | MARTA ADAMOVIC DPT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 570 BISMARK RD NE
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City | ATLANTA
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State | GA
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Zip | 30324-4271
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Country | US
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Telephone | 404-547-5823
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Fax | 470-745-0654
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Provider Business Mailing Address
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Address Line | 570 BISMARK RD NE
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City | ATLANTA
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State | GA
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Zip | 30324-4271
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Country | US
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Telephone | 404-547-5823
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Fax | 470-745-0654
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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 | PT010857
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License Number State | GA
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