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General NPI Number Information
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NPI Number | 1861917379
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Entity Type | Individual
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Provider Name | SHAUNA LEIGH EPPERSON
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Gender | Female
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 36600 N PIMA RD #406
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City | CAREFREE
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State | AZ
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Zip | 85377
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Country | US
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Telephone | 602-799-4989
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Fax |
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Provider Business Mailing Address
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Address Line | 5375 E SEVEN PALMS DR
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2153
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Country | US
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Telephone | 602-799-4989
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 13192
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License Number State | AZ
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