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General NPI Number Information
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NPI Number | 1295241503
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Entity Type | Individual
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Provider Name | SHAWONDELA WARD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 6301 GASTON AVE STE 750
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City | DALLAS
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State | TX
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Zip | 75214-3922
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Country | US
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Telephone | 214-295-5374
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Fax |
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Provider Business Mailing Address
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Address Line | 2078 TAHOKA LN
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City | HEATH
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State | TX
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Zip | 75126-2890
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Country | US
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Telephone | 903-830-7019
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 112654
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 112654
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License Number State | TX
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