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General NPI Number Information
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NPI Number | 1356457675
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Entity Type | Individual
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Provider Name | ANTHONY PAUL PRIBILA P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1129 PROFESSIONAL PARK DR
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City | BRANDON
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State | FL
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Zip | 33511-4887
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Country | US
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Telephone | 863-614-7882
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Fax | 813-333-5414
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Provider Business Mailing Address
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Address Line | 404 MANNS HARBOR DR
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City | APOLLO BEACH
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State | FL
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Zip | 33572-3313
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Country | US
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Telephone | 863-614-7882
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Fax | 813-333-5414
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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 | PT21113
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License Number State | FL
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