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General NPI Number Information
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NPI Number | 1356011365
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Entity Type | Individual
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Provider Name | ANTHONY ALAN SHERWOOD DPT
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Gender | Male
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 22717 SE 29TH ST STE D100
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City | SAMMAMISH
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State | WA
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Zip | 98075-9532
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Country | US
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Telephone | 425-883-9631
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Fax |
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Provider Business Mailing Address
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Address Line | 26126 SE 29TH ST
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City | SAMMAMISH
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State | WA
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Zip | 98075-9106
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Country | US
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Telephone |
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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 |
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License Number State |
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