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General NPI Number Information
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NPI Number | 1821441031
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Entity Type | Individual
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Provider Name | STEPHANIE CLARE SHOEMAKER OT/L, CKTP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 5340 TOWNES SQUARE DRIVE
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 972-316-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 GRASSY CREEK DR
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City | ALLEN
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State | TX
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Zip | 75002-5357
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Country | US
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Telephone | 903-235-1127
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 106586
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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License Number State | TX
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