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General NPI Number Information
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NPI Number | 1821774951
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Entity Type | Individual
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Provider Name | AHMAD HAMDAN OTR/L
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Gender | Male
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 8455 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6220
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Country | US
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Telephone | 219-769-7211
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056015437
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31008720A
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License Number State | IN
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