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General NPI Number Information
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NPI Number | 1770493256
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Entity Type | Individual
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Provider Name | AMBER MESSORE
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 3338 E MAIN STREET RD
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City | ATTICA
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State | NY
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Zip | 14011-9684
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Country | US
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Telephone | 585-591-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 90 HEATHER HILL DR
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City | WEST SENECA
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State | NY
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Zip | 14224-4704
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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 | 011855
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License Number State | NY
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