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General NPI Number Information
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NPI Number | 1811663727
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Entity Type | Individual
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Provider Name | ALYSON AMENTA DPT
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 5255 EL CAMINO REAL
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City | ATASCADERO
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State | CA
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Zip | 93422-3351
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Country | US
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Telephone | 805-237-0272
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Fax |
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Provider Business Mailing Address
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Address Line | 4720 JARDINE RD
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City | PASO ROBLES
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State | CA
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Zip | 93446-9280
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Country | US
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Telephone |
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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