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General NPI Number Information
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NPI Number | 1467676601
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Entity Type | Individual
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Provider Name | SHANNON COOPER ROCK OT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 600 GLEN AVE STE 203
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City | SALISBURY
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State | MD
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Zip | 21804-5263
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Country | US
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Telephone | 410-341-9535
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Fax | 410-341-9536
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Provider Business Mailing Address
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Address Line | PO BOX 69709
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City | BALTIMORE
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State | MD
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Zip | 21264-9709
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Country | US
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Telephone | 410-659-2933
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Fax | 410-332-0619
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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 | 03155
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License Number State | MD
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