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General NPI Number Information
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NPI Number | 1497423099
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH AMANTE DPT
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Gender | Male
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 35 NUTMEG DR
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City | TRUMBULL
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State | CT
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Zip | 06611-5431
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Country | US
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Telephone | 203-516-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 50 MEADOWLAWN RD
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City | STRATFORD
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State | CT
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Zip | 06614-1522
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Country | US
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Telephone | 475-298-5388
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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 | 14.013140
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License Number State | CT
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