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General NPI Number Information
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NPI Number | 1386013332
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Entity Type | Individual
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Provider Name | AMANDA ZAZESKI OT
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Gender | Female
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 15 ERMER RD
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City | SALEM
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State | NH
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Zip | 03079-1271
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Country | US
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Telephone | 603-893-0984
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Fax | 603-898-4385
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Provider Business Mailing Address
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Address Line | 4845 MAIN ST STE B
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City | ZACHARY
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State | LA
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Zip | 70791-3943
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Country | US
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Telephone | 225-654-8208
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Fax | 225-654-4642
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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 | OT3039
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 300362
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License Number State | LA
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