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General NPI Number Information
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NPI Number | 1417769381
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Entity Type | Individual
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Provider Name | STEPHANIE SHAY
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 2850 BAILEY RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-2267
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Country | US
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Telephone | 330-842-9257
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 BAILEY RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-2267
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Country | US
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Telephone | 330-842-9257
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT91956
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | MED-NUTR-LIC-159117
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD.08558
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D-10254581
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License Number State | OR
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