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General NPI Number Information
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NPI Number | 1083943104
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Entity Type | Individual
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Provider Name | SHANNON L LOCHER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/19/2009
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Last Update Date | 12/19/2009
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Provider Practice Location Address
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Address Line | 227 SW 62ND BLVD
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City | GAINESVILLE
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State | FL
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Zip | 32607-2084
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Country | US
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Telephone | 353-331-0601
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Fax |
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Provider Business Mailing Address
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Address Line | 5748 SW 8TH PL
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City | GAINESVILLE
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State | FL
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Zip | 32607-3885
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Country | US
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Telephone |
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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 | OT11425
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License Number State | FL
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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 | 5749
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License Number State | NC
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