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General NPI Number Information
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NPI Number | 1356149439
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Entity Type | Individual
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Provider Name | PHILBERT H TOM PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 625 2ND STREET
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City | SAN FRAN
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State | CA
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Zip | 94107
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Country | US
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Telephone | 844-472-5634
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Fax |
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Provider Business Mailing Address
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Address Line | 178 ASHLAND DR
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City | DALY CITY
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State | CA
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Zip | 94015
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Country | US
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Telephone | 415-533-4181
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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 | 21843
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License Number State | CA
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