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General NPI Number Information
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NPI Number | 1902540396
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Entity Type | Individual
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Provider Name | AMY S NADER PT
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Gender | Female
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 3701 N LOY LAKE RD
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City | SHERMAN
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State | TX
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Zip | 75090-2501
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Country | US
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Telephone | 903-414-5246
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 HUTCHINGS CT
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City | CELINA
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State | TX
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Zip | 75009-6657
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Country | US
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Telephone | 828-507-1415
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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 | 1216950
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License Number State | TX
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