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General NPI Number Information
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NPI Number | 1760807853
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Entity Type | Individual
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Provider Name | SHAUNA CALETKA PT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 997 73RD STREET OCEAN
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City | MARATHON
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State | FL
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Zip | 33050-5102
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Country | US
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Telephone | 607-727-9025
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Fax |
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Provider Business Mailing Address
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Address Line | 997 73RD STREET OCEAN
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City | MARATHON
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State | FL
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Zip | 33050-5102
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Country | US
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Telephone | 607-727-9025
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 41017
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 39194
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License Number State | FL
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