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General NPI Number Information
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NPI Number | 1386076818
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Entity Type | Individual
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Provider Name | AMANDA LYN MILANAK PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4871 SOCASTEE BLVD UNIT E
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-7252
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Country | US
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Telephone | 843-293-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 4871 SOCASTEE BLVD UNIT E
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-7252
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Country | US
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Telephone | 843-293-5610
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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 | CP030750T
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8536
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License Number State | SC
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