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General NPI Number Information
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NPI Number | 1831344506
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Entity Type | Individual
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Provider Name | SHALAKA SHASHIKANT LIMAYE RPT
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Gender | Female
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Dates
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Enumeration Date | 11/23/2008
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Last Update Date | 11/23/2008
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Provider Practice Location Address
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Address Line | 3250 SW 41ST PL
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City | GAINESVILLE
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State | FL
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Zip | 32608-2621
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Country | US
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Telephone | 352-378-1558
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Fax |
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Provider Business Mailing Address
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Address Line | 382 SW 62ND BLVD APT 10
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City | GAINESVILLE
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State | FL
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Zip | 32607-6007
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Country | US
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Telephone | 407-325-8689
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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 | PT24270
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License Number State | FL
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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 | 5501012091
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License Number State | MI
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