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General NPI Number Information
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NPI Number | 1720327455
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Entity Type | Individual
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Provider Name | SHAKERA FREEMAN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 244 W 20TH ST
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City | APOPKA
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State | FL
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Zip | 32703-7087
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Country | US
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Telephone | 407-780-2725
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Fax |
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Provider Business Mailing Address
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Address Line | 244 W 20TH ST
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City | APOPKA
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State | FL
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Zip | 32703-7087
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Country | US
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Telephone | 407-780-2725
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 15825
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 15825
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 15825
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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