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NPI Code Detail

MEDICARE: SHAWNA STRIPLIN

MEDICARE: SHAWNA STRIPLIN
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
1224Z00000XOccupational Therapy Assistant057003074IL

General Provider Information

NPI Number : 1699182261
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA STRIPLIN
Provider Business Mailing Address
First Line : 873 GROVE ST
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-2828
Country : US
Telephone Number : 217-291-2661
Fax Number : 217-245-7980
Provider Business Practice Location Address
First Line : 873 GROVE ST
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-2828
Country : US
Telephone Number : 217-291-2661
Fax Number : 217-245-7980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2014
Last Update Date : 07/16/2014

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Directions to “ SHAWNA STRIPLIN ” Practice Location

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