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General NPI Number Information
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NPI Number | 1497719470
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Entity Type | Individual
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Provider Name | DAVID MICHAEL PHILLIPS MPT
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 1905 CLINT MOORE RD SUITE 214
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City | BOCA RATON
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State | FL
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Zip | 33496-2658
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Country | US
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Telephone | 561-241-8668
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Fax | 561-912-9556
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Provider Business Mailing Address
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Address Line | 5621 AMERICAN CIR
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8566
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Country | US
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Telephone | 954-401-6152
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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 | 19912
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License Number State | FL
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