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General NPI Number Information
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NPI Number | 1346494648
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Entity Type | Individual
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Provider Name | STEPHEN J SYLVESTER P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 25 S FEDERAL HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-3837
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Country | US
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Telephone | 561-346-1773
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 S OLIVE AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-4155
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Country | US
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Telephone | 561-346-1773
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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 | PT5247
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License Number State | FL
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