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General NPI Number Information
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NPI Number | 1437037876
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Entity Type | Individual
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Provider Name | EMILY LYNN STAMMEN OTD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 102 W 11TH AVE
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City | POST FALLS
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State | ID
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Zip | 83854-9255
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Country | US
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Telephone | 208-981-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 15806 NORMANDY AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-1958
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Country | US
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Telephone | 216-659-0053
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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 | 8671574
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License Number State | ID
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