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General NPI Number Information
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NPI Number | 1154690261
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Entity Type | Individual
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Provider Name | SHANNON CHRISTINE BELL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 51 3RD ST
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City | CAMDEN
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State | NY
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Zip | 13316-1114
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Country | US
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Telephone | 315-245-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 171 WANNER RD
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City | CLEVELAND
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State | NY
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Zip | 13042-3244
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Country | US
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Telephone | 315-264-1530
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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 | 010980-1
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License Number State | NY
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