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General NPI Number Information
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NPI Number | 1922682277
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Entity Type | Individual
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Provider Name | GARRET PHIPPS PT
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Gender | Male
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 9596 COLERAIN AVE
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City | CINCINNATI
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State | OH
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Zip | 45251-2004
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Country | US
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Telephone | 629-024-1036
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Fax |
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Provider Business Mailing Address
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Address Line | 9596 COLERAIN AVE
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City | CINCINNATI
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State | OH
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Zip | 45251-2004
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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 | PT019150
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License Number State | OH
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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 | 008800
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License Number State | KY
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