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General NPI Number Information
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NPI Number | 1548795123
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Entity Type | Individual
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Provider Name | MICHAEL MAGYAR
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Gender | Male
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 12400 HIGH BLUFF DR
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City | SAN DIEGO
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State | CA
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Zip | 92130-3077
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Country | US
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Telephone | 866-871-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 7931 STATE ROUTE 193
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City | WILLIAMSFIELD
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State | OH
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Zip | 44093-9729
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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 |
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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 | PTA010404
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA-A03439
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2125051
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A4554
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License Number State | MD
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