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General NPI Number Information
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NPI Number | 1093405177
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Entity Type | Individual
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Provider Name | AMBER KEE PTA
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Gender | Female
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 3493 VETERANS DR N STE E
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City | HUNTINGDON
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State | TN
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Zip | 38344-6228
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Country | US
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Telephone | 731-986-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 4575 MCLEMORESVILLE RD
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City | HUNTINGDON
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State | TN
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Zip | 38344-7549
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Country | US
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Telephone | 731-415-2155
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5798
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License Number State | TN
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