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General NPI Number Information
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NPI Number | 1457112724
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Entity Type | Individual
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Provider Name | SYRIL B PHILIP
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Gender | Male
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 4550 KLAHANIE DR SE
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City | SAMMAMISH
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State | WA
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Zip | 98029-5812
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Country | US
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Telephone | 425-391-2427
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone | 423-238-7217
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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 | LPT-033859
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1387403
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61674428
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License Number State | WA
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