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General NPI Number Information
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NPI Number | 1780458166
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Entity Type | Individual
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Provider Name | SYDNEY RENEE THOMAS
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 3711 GARTH RD STE 100
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City | BAYTOWN
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State | TX
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Zip | 77521-3176
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Country | US
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Telephone | 281-427-4248
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Fax |
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Provider Business Mailing Address
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Address Line | 4714 GETTYSBURG RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4325
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Country | US
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Telephone |
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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 | PT890020
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP035484T
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License Number State | TX
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