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General NPI Number Information
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NPI Number | 1295650687
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Entity Type | Individual
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Provider Name | SYDNEY WEIRICH DPT
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 1400 FORUM BLVD STE 1C
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City | COLUMBIA
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State | MO
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Zip | 65203-1997
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Country | US
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Telephone | 573-810-5703
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Fax |
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Provider Business Mailing Address
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Address Line | 647 SPIRIT AIRPARK WEST DR STE 101
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1032
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Country | US
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Telephone | 636-223-5700
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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 | 2026037725
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License Number State | MO
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