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General NPI Number Information
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NPI Number | 1447322664
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Entity Type | Individual
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Provider Name | PERI PAIGE SHAFER OTRL
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9950 HAMLIN BLVD APT 305
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City | SEMINOLE
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State | FL
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Zip | 33776-1038
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Country | US
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Telephone | 773-750-0287
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Fax |
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Provider Business Mailing Address
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Address Line | 9950 HAMLIN BLVD APT 305
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City | SEMINOLE
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State | FL
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Zip | 33776-1063
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Country | US
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Telephone | 773-750-0287
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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 | 16909
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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 | 31003930A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056006458
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License Number State | IL
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