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Individual
MRS. NICOLE S. SHUPING
Active
Individual
MRS. NICOLE S. SHUPING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10449
NC
2251P0200X
Pediatric Physical Therapist
10449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067WM
BLUE CROSS
NC
05
—
7212075
—
NC
Enumeration date
01/19/2007
Last updated
09/11/2025
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