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General NPI Number Information
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NPI Number | 1649301029
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Entity Type | Individual
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Provider Name | SHERI A. SHELL L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 60 WESTMINSTER ST N SUITE D
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6518
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Country | US
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Telephone | 239-560-0647
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 601
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City | LEHIGH ACRES
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State | FL
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Zip | 33970-0601
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Country | US
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Telephone | 239-560-0647
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA0027937
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License Number State | FL
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