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General NPI Number Information
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NPI Number | 1124566369
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Entity Type | Individual
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Provider Name | AMANDA DUNN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 259 N BROAD ST UNIT 4
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City | BREVARD
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State | NC
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Zip | 28712-4505
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Country | US
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Telephone | 828-883-3141
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Fax | 828-348-8091
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Provider Business Mailing Address
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Address Line | 259 N BROAD ST UNIT 4
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City | BREVARD
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State | NC
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Zip | 28712-4505
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Country | US
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Telephone | 828-883-3141
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Fax | 828-348-8091
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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 | P16923
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License Number State | NC
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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 | P16923
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License Number State | NC
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