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General NPI Number Information
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NPI Number | 1952264228
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Entity Type | Individual
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Provider Name | KHALIL SEMAJ MCPHERSON DPT, PT
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Gender | Male
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 13777 BELTCHER RD S
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City | LARGO
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State | FL
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Zip | 33771-4003
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Country | US
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Telephone | 727-532-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 SUNSET DR
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-2237
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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 | PT43875
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License Number State | FL
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