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General NPI Number Information
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NPI Number | 1972317568
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Entity Type | Individual
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Provider Name | DIJANA MARCIC DPT
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 5025 25TH AVE NE STE 201
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City | SEATTLE
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State | WA
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Zip | 98105-4152
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Country | US
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Telephone | 120-633-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 101 ELM RD
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City | MCKNIGHT
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State | PA
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Zip | 15237-3906
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Country | US
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Telephone | 412-218-8438
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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 | PT032836
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License Number State | PA
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