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General NPI Number Information
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NPI Number | 1073961116
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Entity Type | Individual
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Provider Name | BRIAN TOPHAM D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 217 E 2ND AVE
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City | COLVILLE
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State | WA
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Zip | 99114
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Country | US
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Telephone | 509-684-5027
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Fax | 509-684-6133
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Provider Business Mailing Address
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Address Line | 217 E 2ND AVE
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City | COLVILLE
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State | WA
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Zip | 99114-2903
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Country | US
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Telephone | 509-684-5027
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Fax | 509-684-6133
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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 | PT60624712
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License Number State | WA
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