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General NPI Number Information
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NPI Number | 1427208933
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Entity Type | Individual
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Provider Name | AMY GREEN RESLER DPT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 09/22/2008
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Provider Practice Location Address
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Address Line | 2999 HEALTH CENTER DR CENTER FOR SPORTS MEDICINE
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City | SAN DIEGO
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State | CA
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Zip | 92123-2762
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Country | US
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Telephone | 858-939-6740
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Fax |
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Provider Business Mailing Address
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Address Line | 1066 TURQUOISE ST APT 11
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City | SAN DIEGO
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State | CA
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Zip | 92109-1265
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Country | US
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Telephone | 858-361-3388
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT26463
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License Number State | CA
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