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General NPI Number Information
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NPI Number | 1306039912
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Entity Type | Individual
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Provider Name | CATHERINE MERRITT SHAW OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 100 MEMORIAL HOSPITAL DR SUITE 1-C
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City | MOBILE
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State | AL
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Zip | 36608-1183
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Country | US
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Telephone | 251-340-0688
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Fax | 251-340-0850
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Provider Business Mailing Address
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Address Line | 314 WHITING CT SUITE 1-C
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City | DAPHNE
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State | AL
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Zip | 36526-4616
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Country | US
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Telephone | 251-340-0688
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Fax | 251-340-0850
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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 | 2546
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License Number State | AL
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