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General NPI Number Information
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NPI Number | 1225798135
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Entity Type | Individual
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Provider Name | KRISTINA J. SHAMBRY OTR, MS, OTD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR # 19517
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 512-710-4798
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Fax |
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Provider Business Mailing Address
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Address Line | 2316 BIRDWELL CV
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City | FORNEY
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State | TX
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Zip | 75126-6834
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Country | US
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Telephone | 512-710-4798
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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 | 026300
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License Number State | NY
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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 | 123308
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR01024100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 24585
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License Number State | CA
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