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General NPI Number Information
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NPI Number | 1659420735
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Entity Type | Individual
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Provider Name | BHAVNA (BOBBIE) K SHAH OTR
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 7518 GUINEVERE DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-6190
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Country | US
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Telephone | 281-343-1771
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Fax | 281-962-4135
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Provider Business Mailing Address
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Address Line | 7518 GUINEVERE DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-6190
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Country | US
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Telephone | 281-343-1771
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Fax | 281-962-4135
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 105802
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 105802
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License Number State | TX
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