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General NPI Number Information
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NPI Number | 1588732960
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Entity Type | Individual
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Provider Name | DEBORAH ELLEN AMOS MD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/20/2012
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Provider Practice Location Address
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Address Line | 912 32ND ST. SUITE B
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City | ANACORTES
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State | WA
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Zip | 98221-2582
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Country | US
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Telephone | 360-293-5603
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Fax | 360-293-6594
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Provider Business Mailing Address
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Address Line | 912 32ND ST. SUITE B
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City | ANACORTES
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State | WA
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Zip | 98221-2582
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Country | US
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Telephone | 360-293-5603
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Fax | 360-293-6594
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 32852
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License Number State | WA
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