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General NPI Number Information
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NPI Number | 1497268841
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Entity Type | Individual
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Provider Name | AMBER NICHELLE OATES PT, DPT, OCS, CSCS
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 1332 FUSSELL HOLLOW RD
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City | ODESSA
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State | FL
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Zip | 33556-3800
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Country | US
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Telephone | 813-785-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 FUSSELL HOLLOW RD
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City | ODESSA
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State | FL
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Zip | 33556-3800
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Country | US
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Telephone | 813-785-6664
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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 | 1298731
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License Number State | TX
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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 | PT61243773
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 38952
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License Number State | FL
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