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General NPI Number Information
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NPI Number | 1285079780
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Entity Type | Individual
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Provider Name | SHANIE DASRATH MOT, OTD, OTRL, LMT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1108 SW 11TH LN
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City | ANKENY
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State | IA
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Zip | 50023-1766
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Country | US
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Telephone | 515-257-6572
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 SW 11TH LN UNIT 401
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City | ANKENY
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State | IA
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Zip | 50023-1777
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Country | US
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Telephone | 515-257-6572
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA131383
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License Number State | IA
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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 | OT131388
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License Number State | IA
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