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General NPI Number Information
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NPI Number | 1902233281
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Entity Type | Individual
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Provider Name | MOLLY ELIZABETH SHOEMAKER DPT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 845 GRAVEL PIKE
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-1641
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Country | US
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Telephone | 484-854-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 N GRAVEL PIKE
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City | PERKIOMENVILLE
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State | PA
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Zip | 18074-9779
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Country | US
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Telephone | 717-649-2265
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT022956
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License Number State | PA
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