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General NPI Number Information
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NPI Number | 1720365406
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Entity Type | Individual
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Provider Name | SIBI PHILIPOSE THOMAS D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 9990 DALLAS PKWY STE 100
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City | FRISCO
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State | TX
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Zip | 75033-4135
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Country | US
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Telephone | 469-800-6300
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Fax | 469-800-6351
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Provider Business Mailing Address
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Address Line | 594 SPURLOCK ST
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City | FRISCO
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State | TX
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Zip | 75036-9258
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Country | US
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Telephone | 214-232-5292
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P3259
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | P3259
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10036690
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License Number State | TX
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