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General NPI Number Information
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NPI Number | 1619861648
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Entity Type | Individual
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Provider Name | JOSEPH SHOTTS OTD, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1875 REMOUNT RD
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City | GASTONIA
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State | NC
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Zip | 28054-7413
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Country | US
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Telephone | 704-874-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 W MOREHEAD ST APT 342
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City | CHARLOTTE
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State | NC
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Zip | 28208-5881
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Country | US
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Telephone | 814-528-6830
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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 | 16930
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License Number State | NC
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