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General NPI Number Information
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NPI Number | 1629686886
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Entity Type | Individual
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Provider Name | AMY ELIZABETH CANNING DPT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 1812 SAM RITTENBERG BLVD STE 18
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City | CHARLESTON
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State | SC
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Zip | 29407-4868
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Country | US
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Telephone | 843-779-7377
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Fax | 843-779-7378
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Provider Business Mailing Address
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Address Line | PO BOX 306393
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City | NASHVILLE
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State | TN
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Zip | 37230-6393
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Country | US
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Telephone | 615-373-1350
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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 |
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License Number State |
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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 | 10243
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License Number State | SC
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