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General NPI Number Information
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NPI Number | 1245500578
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Entity Type | Individual
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Provider Name | VIRGINIA ANN BROPHY PT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 8801 S 101ST EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-5716
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Country | US
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Telephone | 918-406-0164
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Fax |
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Provider Business Mailing Address
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Address Line | 5319 E 30TH ST
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City | TULSA
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State | OK
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Zip | 74114-6309
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Country | US
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Telephone | 918-406-0164
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 4470
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License Number State | OK
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