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General NPI Number Information
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NPI Number | 1023917424
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Entity Type | Individual
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Provider Name | AMANDA NOELLE MONTONEY OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1820 W WEBSTER AVE STE 202
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City | CHICAGO
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State | IL
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Zip | 60614-4892
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Country | US
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Telephone | 847-971-3771
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Fax |
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Provider Business Mailing Address
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Address Line | 4516 N SEELEY AVE # 101
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City | CHICAGO
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State | IL
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Zip | 60625-7586
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Country | US
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Telephone | 732-690-1840
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.016964
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License Number State | IL
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