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NPI 1760074868

NPI 1760074868 : SH THERAPY & LYMPHEDEMA LLC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1760074868
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    Entity Type          |    Organization 
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    Legal Business Name  |    SH THERAPY & LYMPHEDEMA LLC 
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Dates
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    Enumeration Date     |    02/09/2021
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    Last Update Date     |    02/09/2021
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Provider Practice Location Address
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    Address Line         |    1750 N BAYSHORE DR APT 2502 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33132-3209
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    Country              |    US
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    Telephone            |    610-457-1173
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1750 N BAYSHORE DR APT 2502 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33132-3209
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    Country              |    US
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    Telephone            |    610-457-1173
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OT
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    Name                 |     STEPHANIE L HILL 
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    Credential           |    OT
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    Telephone            |    610-457-1173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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