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General NPI Number Information
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NPI Number | 1972762474
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Entity Type | Individual
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Provider Name | SHAILA SINGH
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Gender | Female
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 903 HANSHAW RD SUITE 201
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City | ITHACA
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State | NY
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Zip | 14851
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Country | US
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Telephone | 585-354-7432
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Fax |
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Provider Business Mailing Address
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Address Line | 205 6TH ST
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City | WATKINS GLEN
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State | NY
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Zip | 14891-1360
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Country | US
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Telephone | 585-354-7432
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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 | OC010742
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 015353-1
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License Number State | NY
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