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NPI 1295277580

NPI 1295277580 : SHEFALI LINDSEY : RICHLANDS, NC

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General NPI Number Information
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    NPI Number           |    1295277580
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    Entity Type          |    Individual 
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    Provider Name        |    SHEFALI LINDSEY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/17/2016
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    Last Update Date     |    03/05/2025
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Provider Practice Location Address
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    Address Line         |    7011 GUM BRANCH RD 
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    City                 |    RICHLANDS
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    State                |    NC
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    Zip                  |    28574-8227
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    Country              |    US
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    Telephone            |    910-430-2201
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5112 NALL AVE 
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    City                 |    ROELAND PARK
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    State                |    KS
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    Zip                  |    66202-1835
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    17-03073
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    License Number State |    KS
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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       |    17370
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    License Number State |    NC
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