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General NPI Number Information
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NPI Number | 1336492925
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Entity Type | Individual
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Provider Name | AMANDA ELEANOR LINDENBERG OT, DO
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Gender | Female
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2275 DEMING WAY STE 200
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City | MIDDLETON
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State | WI
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Zip | 53562-5527
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Country | US
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Telephone | 608-890-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 7974 UW HEALTH CT
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City | MIDDLETON
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State | WI
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Zip | 53562-5531
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Country | US
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Telephone |
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 81538
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 81538
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.009622
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | 91538
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License Number State | WI
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