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General NPI Number Information
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NPI Number | 1245170364
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Entity Type | Individual
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Provider Name | AMANDA AUSTIN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 437 SW WILSHIRE BLVD STE B
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City | BURLESON
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State | TX
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Zip | 76028-5300
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Country | US
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Telephone | 817-916-0878
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Fax | 817-916-0879
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Provider Business Mailing Address
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Address Line | 480 COMMONS DR APT 3217
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City | BURLESON
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State | TX
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Zip | 76028-6578
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Country | US
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Telephone | 817-916-0878
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Fax | 817-916-0879
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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 | 1407942
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License Number State | TX
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