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General NPI Number Information
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NPI Number | 1912346917
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Entity Type | Organization
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Legal Business Name | AMY NEEBLE, LPT
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 106 HAWKINS DR
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City | GREENSBORO
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State | NC
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Zip | 27410-5512
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Country | US
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Telephone | 336-209-4799
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Fax | 336-644-6242
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Provider Business Mailing Address
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Address Line | 106 HAWKINS DR
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City | GREENSBORO
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State | NC
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Zip | 27410-5512
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Country | US
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Telephone | 336-209-4799
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Fax | 336-644-6242
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | AMY LYNN NEEBLE
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Credential | LPT
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Telephone | 336-209-4799
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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 | 5098
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License Number State | NC
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