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General NPI Number Information
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NPI Number | 1134933989
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Entity Type | Individual
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Provider Name | SHEDELL PINKNEY
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1900 E GOLF RD STE 950
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City | SCHAUMBURG
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State | IL
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Zip | 60173-5034
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Country | US
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Telephone | 773-945-6826
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Fax |
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Provider Business Mailing Address
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Address Line | 20228 KEYSTONE AVE
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City | MATTESON
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State | IL
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Zip | 60443-1230
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 24-376276
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License Number State |
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