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General NPI Number Information
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NPI Number | 1841510146
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Entity Type | Individual
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Provider Name | AMIE MARIE CARNS DPT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 2904 CALUMET AVE
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City | VALPARAISO
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State | IN
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Zip | 46383-2639
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Country | US
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Telephone | 219-462-1020
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Fax | 219-462-1043
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT25400
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05009330A
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License Number State | IN
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