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Individual
KERRI L SHPUR
Active
Individual
KERRI L SHPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0183751
NY
225100000X
Physical Therapist
Primary
34488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000404983001
BLUE SHIELD
—
01
—
Q03D71
BLUE CROSS
—
Enumeration date
09/29/2006
Last updated
11/07/2019
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