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NPI Code Detail

MEDICARE: SHARRY SHEHATA

MEDICARE: SHARRY SHEHATA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1679133110
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARRY SHEHATA
Provider Business Mailing Address
First Line : 4532 US HIGHWAY 19
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4950
Country : US
Telephone Number : 877-823-4283
Fax Number :
Provider Business Practice Location Address
First Line : 4532 US HIGHWAY 19
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4950
Country : US
Telephone Number : 877-823-4283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2019
Last Update Date : 02/12/2024

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Directions to “ SHARRY SHEHATA ” Practice Location

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