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General NPI Number Information
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NPI Number | 1912022765
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Entity Type | Individual
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Provider Name | AMY LYNN MARSHALL MPT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 210 WESTWOOD PL
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City | BRENTWOOD
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State | TN
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Zip | 37027-7554
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Country | US
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Telephone | 412-660-9619
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Fax |
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Provider Business Mailing Address
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Address Line | 902 N MEADOWCROFT AVE
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City | PITTSBURGH
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State | PA
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Zip | 15216-1119
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Country | US
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Telephone | 412-298-8945
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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 | PT013033L
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License Number State | PA
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