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General NPI Number Information
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NPI Number | 1932414992
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Entity Type | Individual
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Provider Name | JESSICA SHEEHAN PT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 777 9TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-8135
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Country | US
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Telephone | 239-261-8126
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Fax |
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Provider Business Mailing Address
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Address Line | 105 DECKER CT STE 1080
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City | IRVING
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State | TX
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Zip | 75062-2339
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Country | US
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Telephone | 877-343-1607
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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 | 33320
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008846
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License Number State | CT
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