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General NPI Number Information
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NPI Number | 1831335256
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Entity Type | Individual
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Provider Name | REBECCA ANN SHERIDAN PT, INHC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 18376 SOUTHAMPTON DR
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City | LEWES
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State | DE
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Zip | 19958-3266
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Country | US
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Telephone | 336-897-8087
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Fax |
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Provider Business Mailing Address
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Address Line | 18376 SOUTHAMPTON DR
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City | LEWES
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State | DE
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Zip | 19958-3266
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Country | US
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Telephone | 336-897-8087
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0014618
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License Number State | DE
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