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General NPI Number Information
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NPI Number | 1467845883
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Entity Type | Individual
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Provider Name | AMBER EGERSON OTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 1620 TAMIAMI TRL STE 216
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-4017
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Country | US
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Telephone | 941-888-4544
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Fax | 800-862-7560
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Provider Business Mailing Address
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Address Line | 1620 TAMIAMI TRL STE 216
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-4017
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Country | US
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Telephone | 941-888-4544
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Fax | 800-862-7560
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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 | 21447
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License Number State | FL
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