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General NPI Number Information
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NPI Number | 1760503809
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Entity Type | Individual
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Provider Name | ALKA PATEL AMOROSE DPT
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 8814 RACHEL FREEMAN WAY STE 103
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City | CHARLOTTE
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State | NC
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Zip | 28278-9510
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Country | US
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Telephone | 704-295-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 13603 LAUGHING GULL DR
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City | CHARLOTTE
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State | NC
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Zip | 28278-0091
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Country | US
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Telephone | 716-572-3880
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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 | PT23073
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | PT 3574
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P17264
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License Number State | NC
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