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General NPI Number Information
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NPI Number | 1407763881
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Entity Type | Individual
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Provider Name | AMANDA LEIGH EVANS
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Gender | Female
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 5151 S 900 E STE 100
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City | MURRAY
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State | UT
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Zip | 84117-6658
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Country | US
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Telephone | 801-261-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 W 3175 N
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City | LEHI
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State | UT
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Zip | 84043-5268
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14292978-2402
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License Number State | UT
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