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General NPI Number Information
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NPI Number | 1740454628
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Entity Type | Individual
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Provider Name | AMY ROZNER PT
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 4122 FACTORIA BLVD SE STE 401
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City | BELLEVUE
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State | WA
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Zip | 98006-5259
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Country | US
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Telephone | 425-562-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 3124 MAPLEWOOD CIR NE
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City | TACOMA
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State | WA
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Zip | 98422-4557
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Country | US
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Telephone | 636-487-3849
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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 | 070010308
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CPO29762T
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License Number State | WA
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