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General NPI Number Information
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NPI Number | 1891628343
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Entity Type | Individual
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Provider Name | SHAYLEY DUNAVANT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 103 S PUBLIC AVE
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City | CLEVER
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State | MO
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Zip | 65631-9103
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Country | US
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Telephone | 417-743-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 7172 STATE HIGHWAY 125 N
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City | ROGERSVILLE
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State | MO
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Zip | 65742-8118
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Country | US
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Telephone | 417-838-3891
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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 |
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License Number State | MO
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