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General NPI Number Information
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NPI Number | 1457444788
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Entity Type | Organization
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Legal Business Name | SYLVIA BROTHERS P.T. INC.
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11050 ECHO GROVE LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-9071
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Country | US
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Telephone | 317-690-0716
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Fax | 317-823-9921
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Provider Business Mailing Address
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Address Line | 11050 ECHO GROVE LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-9071
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Country | US
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Telephone | 317-690-0716
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Fax | 317-823-9921
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYLVIA W BROTHERS
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Credential | P.T.
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Telephone | 317-690-0716
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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 | 05001632A
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License Number State | IN
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