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General NPI Number Information
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NPI Number | 1427172790
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Entity Type | Individual
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Provider Name | SHERRY ANNE STAPLES PT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1680 SPRING CREEK RD
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City | MACUNGIE
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State | PA
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Zip | 18062-9742
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Country | US
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Telephone | 610-530-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 1570 PINEWIND DR
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City | ALBURTIS
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State | PA
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Zip | 18011-2704
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Country | US
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Telephone | 610-366-8260
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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 | PT016120
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License Number State | PA
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