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General NPI Number Information
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NPI Number | 1366150187
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Entity Type | Individual
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Provider Name | AMANDA SWANEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 18 CHESTNUT ST
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City | WORCESTER
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State | MA
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Zip | 01608-1528
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Country | US
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Telephone | 800-244-2756
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Fax | 508-831-9768
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Provider Business Mailing Address
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Address Line | 143 HUDSON ST APT 2
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City | SOMERVILLE
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State | MA
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Zip | 02144-2796
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Country | US
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Telephone | 978-235-2163
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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 | 14717
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License Number State | MA
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