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General NPI Number Information
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NPI Number | 1083844229
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Entity Type | Individual
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Provider Name | AMANDA MARIE CAIN PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 21636 MIDLAND DR
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City | SHAWNEE
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State | KS
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Zip | 66218-9064
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Country | US
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Telephone | 702-568-0195
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Fax |
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Provider Business Mailing Address
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Address Line | 21636 MIDLAND DR
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City | SHAWNEE
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State | KS
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Zip | 66218-9064
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Country | US
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Telephone | 702-810-6378
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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 | 2350
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License Number State | NV
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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 | 11-04552
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License Number State | KS
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