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General NPI Number Information
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NPI Number | 1710172028
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Entity Type | Individual
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Provider Name | SYLVIA JEAN CRISP PT
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 4301 S EXPRESSWAY 83 GOOD SAMARITAN CENTER
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-412-5826
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8370
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City | WESLACO
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State | TX
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Zip | 78599-8370
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Country | US
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Telephone | 956-968-7420
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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 | 1000479
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License Number State | TX
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