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General NPI Number Information
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NPI Number | 1528266293
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Entity Type | Individual
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Provider Name | AMANDA C MORRISON-THROWER OT
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Gender | Female
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Dates
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Enumeration Date | 07/04/2007
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 804 E NAVAJO ST
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City | FARMINGTON
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State | NM
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Zip | 87401-9119
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Country | US
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Telephone | 505-386-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 CHILTON CT
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City | FARMINGTON
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State | NM
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Zip | 87401-3982
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Country | US
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Telephone | 505-860-6000
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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 | 1809
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License Number State | NM
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