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General NPI Number Information
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NPI Number | 1891368270
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Entity Type | Individual
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Provider Name | ZACHARY KOBA PTA
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Gender | Male
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 10930 W POTTER RD STE C
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City | WAUWATOSA
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State | WI
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Zip | 53226-3450
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Country | US
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Telephone | 414-522-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 33900 HARPER AVE STE 104
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City | CLINTON TWP
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State | MI
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Zip | 48035-4258
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Country | US
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Telephone | 586-350-2644
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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 | 2207-19
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License Number State | WI
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