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General NPI Number Information
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NPI Number | 1902294960
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Entity Type | Individual
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Provider Name | MELISSA SHEEHAN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1500 E 191ST ST
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City | EUCLID
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State | OH
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Zip | 44117-1398
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Country | US
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Telephone | 216-486-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 404 DOUGLAS BLVD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-1748
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Country | US
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Telephone | 440-321-5901
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 004182
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA.04182
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License Number State | OH
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