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General NPI Number Information
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NPI Number | 1710363593
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Entity Type | Individual
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Provider Name | EMMA PHIBBS DPT
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 413 DARTMOUTH AVE STE 1
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City | SWARTHMORE
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State | PA
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Zip | 19081
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Country | US
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Telephone | 302-722-5338
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Fax |
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Provider Business Mailing Address
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Address Line | 413 DARTMOUTH AVE STE 1
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City | SWARTHMORE
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State | PA
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Zip | 19081-1549
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Country | US
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Telephone | 302-722-5833
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Fax | 302-444-6624
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT024629
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License Number State | PA
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