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General NPI Number Information
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NPI Number | 1821209917
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Entity Type | Individual
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Provider Name | CANDIE MARIE DJURASAJ PTA
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15979 HALL RD. SUITE 150
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City | MACOMB
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State | MI
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Zip | 48044
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Country | US
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Telephone | 586-416-8430
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Fax | 586-416-8440
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Provider Business Mailing Address
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Address Line | 26644 GROVELAND ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-3368
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Country | US
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Telephone | 586-675-6546
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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 |
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License Number State |
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