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General NPI Number Information
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NPI Number | 1023537099
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Entity Type | Individual
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Provider Name | SHERRI DIANE SHETLEY NNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 100 HOSPITAL DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5272
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Country | US
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Telephone | 855-774-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 412 LYNNE TERRY DR
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City | THOMASVILLE
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State | NC
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Zip | 27360-9157
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Country | US
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Telephone |
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Fax |
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 5009826
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 5009826
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License Number State | NC
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