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General NPI Number Information
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NPI Number | 1083044218
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Entity Type | Individual
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Provider Name | AMY R SERAYDARIAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 8590 POTTER PARK DR
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City | SARASOTA
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State | FL
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Zip | 34238-5440
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Country | US
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Telephone | 941-922-1156
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Fax | 941-922-3824
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Provider Business Mailing Address
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Address Line | 943 S BENEVA RD STE 204
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City | SARASOTA
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State | FL
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Zip | 34232-2472
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Country | US
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Telephone | 941-955-1850
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Fax | 941-955-1852
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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 | 2305207451
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License Number State | VA
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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 | PT32438
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License Number State | FL
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