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General NPI Number Information
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NPI Number | 1992595854
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Entity Type | Individual
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Provider Name | PHILIP M RIPP
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Gender | Male
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 181 W BUSINESS 190 STE 5
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City | COPPERAS COVE
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State | TX
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Zip | 76522-3672
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Country | US
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Telephone | 888-904-8637
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Fax |
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Provider Business Mailing Address
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Address Line | 181 W BUSINESS 190 STE 5
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City | COPPERAS COVE
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State | TX
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Zip | 76522-3672
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Country | US
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Telephone | 888-904-8637
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTL.0020565
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License Number State | CO
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