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NPI 1376276873

NPI 1376276873 : AMY CYPHERS PTA : THURMONT, MD

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General NPI Number Information
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    NPI Number           |    1376276873
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    Entity Type          |    Individual 
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    Provider Name        |    AMY CYPHERS PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/03/2022
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    Last Update Date     |    07/03/2022
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Provider Practice Location Address
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    Address Line         |    120 FREDERICK RD 
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    City                 |    THURMONT
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    State                |    MD
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    Zip                  |    21788-1843
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    Country              |    US
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    Telephone            |    301-383-9830
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    316 W COLLEGE TER APT 1 
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    City                 |    FREDERICK
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    State                |    MD
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    Zip                  |    21701-4922
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    Country              |    US
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    Telephone            |    732-865-2610
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    A5493
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    License Number State |    MD
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