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General NPI Number Information
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NPI Number | 1851814149
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Entity Type | Individual
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Provider Name | STEVE A AMAN III OTR
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Gender | Male
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 7011 GUM BRANCH RD
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City | RICHLANDS
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State | NC
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Zip | 28574-8227
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Country | US
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Telephone | 910-540-0039
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Fax | 19-324-4325
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Provider Business Mailing Address
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Address Line | 131 E HIGH BLUFF DR
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City | HAMPSTEAD
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State | NC
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Zip | 28443-7179
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Country | US
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Telephone | 910-540-0039
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Fax | 910-324-4325
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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 | 1092
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License Number State | NC
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