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General NPI Number Information
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NPI Number | 1073393732
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Entity Type | Individual
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Provider Name | SHANNON MARIE MAY DO
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Gender | Female
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 600 E CATHEDRAL RD
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1933
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Country | US
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Telephone | 215-487-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 1278 FLEETWOOD RD
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City | RYDAL
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State | PA
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Zip | 19046-1808
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Country | US
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Telephone | 215-280-9041
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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 | OC019443
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License Number State | PA
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