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General NPI Number Information
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NPI Number | 1831129451
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Entity Type | Individual
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Provider Name | AMY GARRIGUES DPT
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6300 SHINGLE CREEK PKWY SUITE 110
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2124
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Country | US
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Telephone | 763-566-3798
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Fax | 763-566-3797
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Provider Business Mailing Address
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Address Line | 6300 SHINGLE CREEK PKWY SUITE 110
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2124
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Country | US
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Telephone | 763-566-3798
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Fax | 763-566-3797
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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 | 7694
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License Number State | MN
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