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General NPI Number Information
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NPI Number | 1144987454
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Entity Type | Individual
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Provider Name | AMANDA NOTO
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Gender | Female
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 2550 HUNTER RD STE 1104
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City | SAN MARCOS
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State | TX
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Zip | 78666-5376
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Country | US
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Telephone | 512-396-5122
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 N LOOP 1604 E STE 101
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City | LIVE OAK
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State | TX
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Zip | 78233-2604
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Country | US
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Telephone | 210-590-4000
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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 |
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License Number State |
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