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General NPI Number Information
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NPI Number | 1356419360
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Entity Type | Individual
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Provider Name | CARRIE ANN RUBERTINO SHEARER A.T.C, P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 320 EMERGENCY ROOM DR JAMES A. TAYLOR BUILDING CB#7470
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City | CHAPEL HILL
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State | NC
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Zip | 27599-7470
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Country | US
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Telephone | 919-966-6548
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Fax | 919-843-4771
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Provider Business Mailing Address
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Address Line | 320 EMERGENCY ROOM DR JAMES A. TAYLOR BUILDING CB#7470
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City | CHAPEL HILL
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State | NC
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Zip | 27599-7470
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Country | US
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Telephone | 919-966-6548
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Fax | 919-843-4771
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 25878
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License Number State | CA
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 12302
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License Number State | NC
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