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General NPI Number Information
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NPI Number | 1831380625
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Entity Type | Individual
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Provider Name | SHAWN DENISE STEELE LPTA
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 7090 COVENANT WDS DR REHAB DEPARTMENT
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-7025
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Country | US
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Telephone | 804-569-8697
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Fax | 804-569-8686
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Provider Business Mailing Address
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Address Line | 932 STONEMEADOW DR
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City | GLEN ALLEN
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State | VA
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Zip | 23060-2399
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Country | US
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Telephone | 804-852-4594
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306001219
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License Number State | VA
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