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General NPI Number Information
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NPI Number | 1326701228
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Entity Type | Individual
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Provider Name | SHANIA MARIE ADAIR PT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 8726 US42
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City | FLORENCE
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State | KY
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Zip | 41042
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Country | US
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Telephone | 859-301-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 560 S LOOP RD
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City | EDGEWOOD
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State | KY
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Zip | 41017-3405
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Country | US
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Telephone | 859-301-2663
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009145
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT1957
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License Number State | KY
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