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General NPI Number Information
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NPI Number | 1902039613
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Entity Type | Individual
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Provider Name | AMY LYNN ANDERSEN YAMAODA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2075 SCOTTSVILLE RD
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City | ROCHESTER
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State | NY
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Zip | 14623-2021
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Country | US
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Telephone | 585-429-2710
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Fax |
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Provider Business Mailing Address
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Address Line | 22 LYNNHAVEN CT
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City | ROCHESTER
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State | NY
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Zip | 14618-4216
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Country | US
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Telephone | 718-986-8028
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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 | 018005
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License Number State | NY
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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 | 10444
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License Number State | CA
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