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General NPI Number Information
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NPI Number | 1861948234
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Entity Type | Individual
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Provider Name | SHANNON WHITE SALDANA MS, OTR/L, CBIS
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 1600 ROCKLAND RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3607
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Country | US
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Telephone | 302-651-5244
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Fax |
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Provider Business Mailing Address
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Address Line | 505 CONREY TRL
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City | WEST GROVE
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State | PA
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Zip | 19390-1363
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Country | US
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Telephone | 717-572-9889
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | U1-0001004
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OC010394
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License Number State | PA
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