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General NPI Number Information
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NPI Number | 1952830903
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Entity Type | Individual
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Provider Name | AMY BELOTE PT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 11405 MEDLOCK BRIDGE RD
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City | DULUTH
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State | GA
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Zip | 30097-1688
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Country | US
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Telephone | 470-299-5049
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Fax |
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Provider Business Mailing Address
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Address Line | 4945 BERGEN CT
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City | CUMMING
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State | GA
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Zip | 30040-9707
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Country | US
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Telephone | 678-756-3575
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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 | PT010232
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License Number State | GA
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