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General NPI Number Information
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NPI Number | 1952911620
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Entity Type | Individual
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Provider Name | PATRYCK FILIPCZUK DPT
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Gender | Male
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 2484 AVONDALE HASLET RD STE 800
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City | HASLET
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State | TX
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Zip | 76052-6251
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Country | US
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Telephone | 682-289-9760
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Fax |
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Provider Business Mailing Address
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Address Line | 3305 RICE ST
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City | MIAMI
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State | FL
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Zip | 33133-5216
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Country | US
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Telephone | 305-792-8393
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Fax | 305-444-1523
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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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 | 1394354
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License Number State | TX
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