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NPI 1902572498

NPI 1902572498 : AMY BETH HOPKINS MPT PC DBA YOUR PERSONAL BEST PT : LEANDER, TX

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General NPI Number Information
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    NPI Number           |    1902572498
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMY BETH HOPKINS MPT PC DBA YOUR PERSONAL BEST PT 
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Dates
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    Enumeration Date     |    08/17/2021
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    Last Update Date     |    08/17/2021
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Provider Practice Location Address
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    Address Line         |    2082 US 183 SUITE 175
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    City                 |    LEANDER
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    State                |    TX
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    Zip                  |    78641
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    Country              |    US
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    Telephone            |    737-757-0838
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2500 W WILLIAM CANNON DR STE 409 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78745-5290
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    Country              |    US
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    Telephone            |    512-852-8434
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CREDENTIALING MANAGER
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    Name                 |     ANNA  GAYLORD 
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    Credential           |    
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    Telephone            |    678-981-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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