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General NPI Number Information
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NPI Number | 1700892486
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Entity Type | Individual
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Provider Name | AMY B GOTTESMAN OTRL, CHT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 1281 E MAIN ST
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City | STAMFORD
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State | CT
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Zip | 06902-3544
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Country | US
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Telephone | 203-210-2840
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Fax | 203-210-2841
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Provider Business Mailing Address
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Address Line | 2700 WESTCHESTER AVE
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City | PURCHASE
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State | NY
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Zip | 10577-2547
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Country | US
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Telephone | 914-607-5730
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Fax | 914-457-1195
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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 | 002535
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License Number State | CT
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