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General NPI Number Information
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NPI Number | 1538519970
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Entity Type | Individual
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Provider Name | AMY FLYNT LMT
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Gender | Female
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 1410 9TH ST NW STE 1
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City | WASHINGTON
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State | DC
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Zip | 20001-3361
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Country | US
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Telephone | 202-408-4858
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 BEVERLEY DR
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2422
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Country | US
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Telephone | 703-868-1905
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT1505
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License Number State | DC
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