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General NPI Number Information
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NPI Number | 1871988204
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Entity Type | Individual
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Provider Name | JULIE SHELDON OT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 4642 CHAMBERLAIN LN SUITE 202
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City | LOUISVILLE
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State | KY
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Zip | 40241-2156
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Country | US
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Telephone | 502-562-0344
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Fax | 502-562-0328
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Provider Business Mailing Address
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Address Line | PO BOX 740041 DEPT 6150
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City | LOUISVILLE
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State | KY
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Zip | 40201-7441
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Country | US
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Telephone | 502-561-4295
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Fax | 502-562-0348
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31004782A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | BOTOCT00218305
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License Number State | KY
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