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General NPI Number Information
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NPI Number | 1184530172
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Entity Type | Individual
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Provider Name | AMELIA FLY
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 2746 W MONTROSE AVE
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City | CHICAGO
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State | IL
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Zip | 60618-1536
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Country | US
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Telephone | 312-489-8579
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Fax | 855-492-1591
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Provider Business Mailing Address
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Address Line | 2432 W EASTWOOD AVE APT 1F
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City | CHICAGO
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State | IL
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Zip | 60625-3772
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Country | US
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Telephone |
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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 | 070040223
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License Number State | IL
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