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General NPI Number Information
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NPI Number | 1366784951
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Entity Type | Individual
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Provider Name | WHITNEY SHAY LEAR OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 12/29/2024
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Provider Practice Location Address
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Address Line | 10200 GANDY BLVD N APT 1318
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2322
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Country | US
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Telephone | 941-209-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 10200 GANDY BLVD N APT 1318
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2322
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Country | US
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Telephone | 941-209-0493
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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 | OT15668
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License Number State | FL
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