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General NPI Number Information
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NPI Number | 1386983948
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Entity Type | Individual
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Provider Name | SHELLEY KAYE CAMPBELL MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3932 N 10TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-2807
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Country | US
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Telephone | 850-434-7755
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Fax | 850-469-0858
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Provider Business Mailing Address
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Address Line | 4117 FOGGY BOTTOM DR
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City | MILTON
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State | FL
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Zip | 32583-2544
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Country | US
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Telephone | 407-920-1816
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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 | OT9604
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License Number State | FL
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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 | OT9604
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License Number State | FL
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