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General NPI Number Information
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NPI Number | 1497051452
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Entity Type | Individual
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Provider Name | AMY M TIMPE D.P.T
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Gender | Female
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 14265 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48154-4585
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Country | US
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Telephone | 734-525-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 PAULINE BLVD #207
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City | ANN ARBOR
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State | MI
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Zip | 48103-5193
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Country | US
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Telephone | 701-430-1606
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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 | 5501016343
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License Number State | MI
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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 | 23563
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License Number State | MD
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