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NPI 1609845528

NPI 1609845528 : AMY ELIZABETH STURKEY PT : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1609845528
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    Entity Type          |    Individual 
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    Provider Name        |    AMY ELIZABETH STURKEY PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    02/26/2013
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Provider Practice Location Address
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    Address Line         |    4012 PARK RD STE 200 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28209-2378
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    Country              |    US
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    Telephone            |    704-332-4834
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    Fax                  |    704-372-9653
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Provider Business Mailing Address
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    Address Line         |    1416 CYRUS DR 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28205-5528
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    Country              |    US
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    Telephone            |    704-532-9197
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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       |    2148
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    License Number State |    NC
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