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General NPI Number Information
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NPI Number | 1356505390
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Entity Type | Individual
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Provider Name | SHANA RENAE FRENCH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1710 POLK ST
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-1840
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Country | US
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Telephone | 660-752-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 10601 E 35TH TER S
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City | INDEPENDENCE
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State | MO
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Zip | 64052-1113
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2001015113
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License Number State | MO
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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 | 2001015113
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License Number State | MO
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