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General NPI Number Information
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NPI Number | 1043777261
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Entity Type | Individual
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Provider Name | TARAH ELIZABETH O'SHEA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 02/24/2019
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Provider Practice Location Address
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Address Line | 246 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-5691
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Country | US
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Telephone | 352-683-2102
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Fax |
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Provider Business Mailing Address
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Address Line | 14312 HERRING HOLW
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City | SPRING HILL
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State | FL
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Zip | 34609-0512
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Country | US
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Telephone | 585-662-9889
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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 | OT19540
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License Number State | FL
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