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General NPI Number Information
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NPI Number | 1295293959
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Entity Type | Individual
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Provider Name | AMANDA A DOYLE MS, LAT, ATC, OPE-C
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Gender | Female
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 500 E VETERANS WAY
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City | TEMPE
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State | AZ
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Zip | 85287-9634
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Country | US
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Telephone | 563-299-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 W BASELINE RD APT 334
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City | TEMPE
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State | AZ
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Zip | 85283-1092
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Country | US
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Telephone | 563-299-8845
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATR-009347
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License Number State | AZ
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