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General NPI Number Information
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NPI Number | 1467346908
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Entity Type | Individual
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Provider Name | SHAYNAH LYNN COBB PTA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 300 BAKER LN
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City | CHARLESTON
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State | WV
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Zip | 25302-2900
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Country | US
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Telephone | 304-346-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 FISHERS BRANCH RD
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City | CHARLESTON
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State | WV
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Zip | 25312-6706
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Country | US
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Telephone | 304-415-0056
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 002913
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License Number State | WV
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