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General NPI Number Information
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NPI Number | 1457183600
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Entity Type | Individual
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Provider Name | AMANDA MILLER DPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3442 US HIGHWAY 19
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City | HOLIDAY
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State | FL
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Zip | 34691-1850
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Country | US
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Telephone | 727-841-8160
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Fax | 727-841-8164
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Provider Business Mailing Address
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Address Line | 24575 NW 160TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-6887
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Country | US
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Telephone | 386-266-9780
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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 | 2305217247
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License Number State | VA
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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 | PT42107
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017561
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6021
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License Number State | NH
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