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General NPI Number Information
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NPI Number | 1407665441
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Entity Type | Individual
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Provider Name | SHANNON ELIZABETH FLOOD
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 5775 MAELOU DR
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City | HAMBURG
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State | NY
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Zip | 14075-7419
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Country | US
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Telephone | 716-648-2820
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Fax |
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Provider Business Mailing Address
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Address Line | 66 GROVE ST
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City | DELEVAN
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State | NY
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Zip | 14042-9683
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Country | US
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Telephone | 716-912-6056
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 028260
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License Number State | NY
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