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General NPI Number Information
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NPI Number | 1881105567
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Entity Type | Individual
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Provider Name | AMANDA SATTERFIELD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 1400 N MAIN ST
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City | GIDDINGS
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State | TX
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Zip | 78942-1360
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Country | US
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Telephone | 979-542-1755
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Fax |
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Provider Business Mailing Address
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Address Line | 116 IRENE ST
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City | ELGIN
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State | TX
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Zip | 78621-1255
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Country | US
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Telephone | 737-666-5152
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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 | 212344
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License Number State | TX
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