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General NPI Number Information
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NPI Number | 1104015627
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Entity Type | Individual
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Provider Name | SONJA C TAYLOR DPT
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Gender | Female
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 27 S BRYN MAWR AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3406
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Country | US
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Telephone | 610-672-1163
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Fax | 610-527-1501
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Provider Business Mailing Address
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Address Line | 5523 GREENE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-2805
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 026745
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License Number State | NY
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