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General NPI Number Information
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NPI Number | 1922761840
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Entity Type | Individual
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Provider Name | SHAQUANIA ARTHUR
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 200 WELLMORE DR
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City | LEXINGTON
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State | SC
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Zip | 29072-9172
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Country | US
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Telephone | 803-520-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 KILLIAN LAKES DR APT 14315
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City | COLUMBIA
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State | SC
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Zip | 29203-8875
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Country | US
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Telephone | 843-639-1203
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | SC
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