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General NPI Number Information
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NPI Number | 1285596429
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Entity Type | Individual
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Provider Name | AMBER SIVALLS
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 388 HARDING PL
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City | NASHVILLE
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State | TN
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Zip | 37211-3942
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Country | US
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Telephone | 615-220-5796
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Fax |
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Provider Business Mailing Address
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Address Line | 1042 SW ABBOT AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-6769
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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