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General NPI Number Information
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NPI Number | 1831657303
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Entity Type | Individual
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Provider Name | HARRISON SHUNEH
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Gender | Male
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 15100 BIRCHAVEN LN
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City | FINDLAY
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State | OH
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Zip | 45840-9773
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Country | US
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Telephone | 419-423-5351
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Fax |
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Provider Business Mailing Address
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Address Line | 6481 GARDEN RD
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City | MAUMEE
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State | OH
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Zip | 43537-1201
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Country | US
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Telephone |
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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 | 5502006076
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 012721
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 10392
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License Number State | OH
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