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General NPI Number Information
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NPI Number | 1659699478
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Entity Type | Individual
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Provider Name | ANNE MARIE CAIN SHEBAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 360 E RANDOLPH ST APT 3802
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City | CHICAGO
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State | IL
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Zip | 60601-7340
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Country | US
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Telephone | 614-588-2967
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Fax |
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Provider Business Mailing Address
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Address Line | 130 W CLEARVIEW AVE
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City | WORTHINGTON
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State | OH
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Zip | 43085-4112
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Country | US
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Telephone | 614-785-9040
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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 | OT 002616
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License Number State | OH
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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 | 056.012911
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License Number State | IL
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