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General NPI Number Information
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NPI Number | 1932525870
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Entity Type | Individual
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Provider Name | AMY AUSTIN MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 4900 IVEY RD NW STE 1720
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City | ACWORTH
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State | GA
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Zip | 30101-4101
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Country | US
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Telephone | 770-560-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 803 RICHARDS RD NE
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City | WHITE
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State | GA
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Zip | 30184-2102
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Country | US
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Telephone | 770-560-4431
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT005879
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License Number State | GA
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