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General NPI Number Information
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NPI Number | 1467506477
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Entity Type | Individual
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Provider Name | TERRI DAWN SHAFFETT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 407 CARSON ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-6852
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Country | US
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Telephone | 501-620-5518
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Fax | 501-321-9828
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Provider Business Mailing Address
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Address Line | 161 HARDWOOD HILLS CIRCLE
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City | HOT SPRINGS
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State | AR
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Zip | 71901
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Country | US
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Telephone | 501-623-8353
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT2788
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License Number State | AR
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