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General NPI Number Information
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NPI Number | 1649137266
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Entity Type | Individual
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Provider Name | AIYANA MARIE SHAW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 10901 ROOSEVELT BLVD N STE 100
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City | SAINT PETERSBURG
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State | FL
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Zip | 33716-2305
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Country | US
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Telephone | 888-754-0398
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 49TH ST N APT 1701
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City | PINELLAS PARK
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State | FL
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Zip | 33781-1549
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Country | US
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Telephone | 188-875-4039
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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