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General NPI Number Information
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NPI Number | 1730368028
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Entity Type | Organization
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Legal Business Name | KATHLEEN D. SHAFFER LLC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 2415 W PECAN ST STE 100
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3670
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Country | US
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Telephone | 512-251-3230
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Fax | 512-251-8760
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Provider Business Mailing Address
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Address Line | 2415 W PECAN ST STE 100
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3670
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Country | US
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Telephone | 512-251-3230
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Fax | 512-251-8760
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. KATHLEEN DUKE SHAFFER
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Credential | OTR/L
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Telephone | 512-251-3230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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