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General NPI Number Information
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NPI Number | 1780959015
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Entity Type | Individual
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Provider Name | AMY ADAMS PT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 2084 W MAIN ST
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City | MILAN
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State | TN
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Zip | 38358-3515
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Country | US
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Telephone | 731-686-8321
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 CROWNE POINTE DR
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City | NEWBERN
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State | TN
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Zip | 38059-5459
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Country | US
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Telephone | 731-697-3736
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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 | 8718
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License Number State | TN
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