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General NPI Number Information
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NPI Number | 1629629159
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Entity Type | Organization
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Legal Business Name | SABINNE K SHEPELSKY
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 1500 REISTERSTOWN RD STE 224
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City | PIKESVILLE
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State | MD
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Zip | 21208-3836
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Country | US
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Telephone | 410-559-6993
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 REISTERSTOWN RD STE 224
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City | PIKESVILLE
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State | MD
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Zip | 21208-3836
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Country | US
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Telephone | 410-559-6993
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. FLORA SHEPELSKY
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Credential |
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Telephone | 646-327-3335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number |
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License Number State |
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