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General NPI Number Information
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NPI Number | 1700694387
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Entity Type | Individual
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Provider Name | AMANDA ANN HATZIANTONIOU OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 28400 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-3805
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Country | US
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Telephone | 440-808-9275
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Fax |
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Provider Business Mailing Address
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Address Line | 24655 CLARESHIRE DR APT 101
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3526
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Country | US
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Telephone | 440-554-4667
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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 | OT013153
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License Number State | OH
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