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General NPI Number Information
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NPI Number | 1780571745
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Entity Type | Individual
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Provider Name | AMANDA LEWIN DPT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 7155 S BUFFALO DR STE 165
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City | LAS VEGAS
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State | NV
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Zip | 89113-4118
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Country | US
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Telephone | 702-525-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 4024 LADY FERN AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-1440
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Country | US
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Telephone | 818-984-1189
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 6750
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License Number State | NV
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