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NPI 1427055722

NPI 1427055722 : AMY GEILS MSPT : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1427055722
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    Entity Type          |    Individual 
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    Provider Name        |    AMY GEILS MSPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2005
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    Last Update Date     |    09/08/2020
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Provider Practice Location Address
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    Address Line         |    16071 N 76TH ST STE 101 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1212
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    Country              |    US
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    Telephone            |    480-548-0422
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    Fax                  |    480-548-0422
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Provider Business Mailing Address
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    Address Line         |    16071 N 76TH ST STE 101 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1212
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    Country              |    US
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    Telephone            |    480-548-0422
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    Fax                  |    480-548-0422
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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       |    LPT-003605
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    License Number State |    AZ
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