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NPI 1700367620

NPI 1700367620 : AMBER BOYD PT, DPT, DHSC, SCS : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1700367620
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    Entity Type          |    Individual 
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    Provider Name        |    AMBER BOYD PT, DPT, DHSC, SCS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2018
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    Last Update Date     |    08/28/2018
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Provider Practice Location Address
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    Address Line         |    222 PIEDMONT AVE STE 2300 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45219-4215
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    Country              |    US
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    Telephone            |    513-621-7777
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    504 GENERAL DR 
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    City                 |    FT WRIGHT
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    State                |    KY
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    Zip                  |    41011-1836
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    Country              |    US
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    Telephone            |    765-265-5030
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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        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    PT012817
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    License Number State |    OH
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