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General NPI Number Information
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NPI Number | 1932848082
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Entity Type | Individual
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Provider Name | SHAELYNN MACENZIE BILGER
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Gender | Female
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 45 US-11
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City | SHAMOKIN DAM
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State | PA
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Zip | 17876
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Country | US
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Telephone | 570-931-3849
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Fax |
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Provider Business Mailing Address
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Address Line | 711 N 4TH ST APT A
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City | SUNBURY
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State | PA
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Zip | 17801-1213
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Country | US
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Telephone | 570-238-6277
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | PA
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