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General NPI Number Information
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NPI Number | 1508787946
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Entity Type | Individual
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Provider Name | AMELIA GRACE STRZECHOWSKI
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 503 OTIS BOWEN DR
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City | MUNSTER
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State | IN
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Zip | 46321-4158
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Country | US
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Telephone | 219-934-0590
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Fax |
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Provider Business Mailing Address
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Address Line | 10133 SHERRILL BLVD STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37932-3347
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 32004017A
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License Number State | IN
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