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General NPI Number Information
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NPI Number | 1316250335
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Entity Type | Individual
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Provider Name | SCOTT SYPHER CPO
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Gender | Male
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 07/19/2010
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Provider Practice Location Address
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Address Line | 600 NW GILMAN BLVD SUITE A
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City | ISSAQUAH
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State | WA
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Zip | 98027-2445
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Country | US
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Telephone | 425-427-8900
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Fax | 425-427-8884
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Provider Business Mailing Address
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Address Line | 600 NW GILMAN BLVD SUITE A
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City | ISSAQUAH
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State | WA
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Zip | 98027-2445
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Country | US
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Telephone | 425-427-8900
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Fax | 425-427-8884
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | OI00000274
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | PS00000275
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | PS00000275
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License Number State | WA
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