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General NPI Number Information
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NPI Number | 1821827395
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Entity Type | Individual
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Provider Name | HANNAH NICOLE PYATETSKIY OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2302 N 15TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85007-1201
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Country | US
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Telephone | 262-894-7509
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 E CAMPBELL AVE APT 8
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City | PHOENIX
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State | AZ
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Zip | 85016-5032
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Country | US
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Telephone | 262-894-7509
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTH-010081
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License Number State | AZ
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