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General NPI Number Information
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NPI Number | 1891813267
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Entity Type | Individual
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Provider Name | AMY HOLLIS BROWN DPT
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 1706 MAGNOLIA WAY
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 706-210-7529
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Fax | 706-312-7610
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Provider Business Mailing Address
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Address Line | PO BOX 949
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City | ROME
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State | GA
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Zip | 30162-0949
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Country | US
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Telephone | 706-802-1991
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Fax | 706-236-2783
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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 | PT011803
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA002342
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License Number State | GA
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