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General NPI Number Information
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NPI Number | 1760805634
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Entity Type | Individual
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Provider Name | SHANNON HESS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 3250 WINKLER AVE
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City | FORT MYERS
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State | FL
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Zip | 33916-9414
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Country | US
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Telephone | 239-939-4993
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 S WILLIAMSON BLVD SUITE 774
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City | PORT ORANGE
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State | FL
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Zip | 32128-8311
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Country | US
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Telephone | 800-330-7711
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Fax | 386-944-7202
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201010120
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License Number State | MI
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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 | OT3068
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC013343
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9813
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT21227
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License Number State | FL
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