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General NPI Number Information
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NPI Number | 1316133952
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Entity Type | Individual
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Provider Name | AMY WILLS HOPPER P.T., D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 116 LINEBERRY BLVD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-5517
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Country | US
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Telephone | 615-758-4888
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Fax | 615-758-6188
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Provider Business Mailing Address
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Address Line | 2000 ARDEN COURT
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City | MOUNT JULIET
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State | TN
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Zip | 37122
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Country | US
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Telephone | 615-598-0113
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Fax | 615-758-6188
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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 | 7955
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License Number State | TN
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