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General NPI Number Information
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NPI Number | 1467665059
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Entity Type | Individual
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Provider Name | AMANDA KUTE OTD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 155 PANTHER WAY
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City | WOODLAND PARK
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State | CO
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Zip | 80863-3165
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Country | US
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Telephone | 719-452-1618
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Fax |
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Provider Business Mailing Address
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Address Line | 155 PANTHER WAY
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City | WOODLAND PARK
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State | CO
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Zip | 80863-3165
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Country | US
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Telephone | 719-452-1618
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2588
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0119003764
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0002588
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License Number State | CO
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