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General NPI Number Information
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NPI Number | 1336979525
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Entity Type | Individual
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Provider Name | JULYANA AMANTE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/03/2024
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Last Update Date | 08/03/2024
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Provider Practice Location Address
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Address Line | 1100 H ST NW STE LL-110
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City | WASHINGTON
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State | DC
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Zip | 20005-5476
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Country | US
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Telephone | 202-347-2373
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 CALVERT RD APT 484
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3397
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Country | US
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Telephone | 925-640-4159
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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 | PT210002461
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License Number State | DC
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