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General NPI Number Information
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NPI Number | 1972999761
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Entity Type | Individual
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Provider Name | AMY WASHBURN DPT
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 2655 RIDGEWAY AVE STE 320
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City | ROCHESTER
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State | NY
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Zip | 14626-4296
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Country | US
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Telephone | 585-368-6600
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Fax | 585-368-6601
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Provider Business Mailing Address
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Address Line | 15 HUBBELL PARK
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City | ROCHESTER
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State | NY
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Zip | 14608-2427
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Country | US
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Telephone | 435-813-2121
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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 | 91522662401
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | 043092
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License Number State | NY
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