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General NPI Number Information
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NPI Number | 1356718290
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Entity Type | Individual
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Provider Name | AMIE SORENSEN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 331 N 11TH AVE
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City | HANFORD
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State | CA
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Zip | 93230-4511
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Country | US
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Telephone | 559-582-1027
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Fax | 559-582-8105
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Provider Business Mailing Address
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Address Line | 5533 W HILLSDALE AVE STE A
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City | VISALIA
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State | CA
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Zip | 93291-5367
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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 | 42876
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License Number State | CA
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