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General NPI Number Information
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NPI Number | 1043109713
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Entity Type | Individual
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Provider Name | SHANNON CHENAY ANDERSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 3200 N MAIN ST
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City | TAYLOR
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State | TX
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Zip | 76574-1216
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Country | US
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Telephone | 512-309-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 PHOENIX WAY
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City | ROUND ROCK
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State | TX
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Zip | 78665-7823
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Country | US
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Telephone | 512-626-2940
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1196372
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License Number State | TX
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