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General NPI Number Information
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NPI Number | 1003867821
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Entity Type | Individual
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Provider Name | STEPHANIE CAMILLE SHIBLER RN
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 34300 S TALKEETNA SPUR RD
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City | TALKEETNA
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State | AK
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Zip | 99676
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Country | US
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Telephone | 907-733-9265
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Fax | 907-733-1735
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Provider Business Mailing Address
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Address Line | HC 89 BOX 328
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City | WILLOW
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State | AK
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Zip | 99688-9704
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Country | US
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Telephone | 907-733-9265
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Fax | 907-733-1735
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 23477
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License Number State | AK
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