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General NPI Number Information
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NPI Number | 1053863241
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Entity Type | Individual
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Provider Name | SHAINA HELM
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Gender | Female
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 2807 SYCAMORE ST UNIT 100
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City | NORTH PORT
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State | FL
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Zip | 34289-9507
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Country | US
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Telephone | 941-278-5266
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Fax | 317-520-8200
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Provider Business Mailing Address
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Address Line | 1116 NIKKI VIEW DR
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City | BRANDON
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State | FL
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Zip | 33511-4868
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Country | US
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Telephone | 855-832-6727
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Fax | 772-675-9100
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-34282
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License Number State | FL
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