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General NPI Number Information
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NPI Number | 1871186734
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Entity Type | Individual
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Provider Name | MAKENZI MAGIERA DPT
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Gender | Female
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/16/2025
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Provider Practice Location Address
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Address Line | 211 N ESTRELLA PKWY STE 103
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City | GOODYEAR
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State | AZ
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Zip | 85338-9340
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Country | US
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Telephone | 623-323-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 52098 FAWN CIR
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City | AMHERST
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State | OH
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Zip | 44001-9460
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 299891
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License Number State | CA
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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 | CP036693T
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License Number State | AZ
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