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General NPI Number Information
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NPI Number | 1154897817
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Entity Type | Individual
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Provider Name | PHILLIP MUELLER DPT
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Gender | Male
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 4210 W SYLVANIA AVE STE 102
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City | TOLEDO
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State | OH
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Zip | 43623-4501
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Country | US
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Telephone | 419-559-5591
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Fax | 866-268-5006
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Provider Business Mailing Address
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Address Line | 4210 W SYLVANIA AVE STE 102
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City | TOLEDO
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State | OH
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Zip | 43623-4501
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Country | US
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Telephone | 419-559-5591
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Fax | 866-268-5006
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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 | PT.017509
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License Number State | OH
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