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General NPI Number Information
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NPI Number | 1063267268
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Entity Type | Individual
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Provider Name | SHAWNA NICOLE CATOE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1085 NE GATEWAY CT NE STE 100
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City | CONCORD
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State | NC
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Zip | 28025-2411
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Country | US
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Telephone | 704-707-2200
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Fax | 704-707-2203
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Provider Business Mailing Address
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Address Line | 1100 YADKINVILLE RD. SUITE B
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City | MOCKSVILLE
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State | NC
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Zip | 27028-3192
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Country | US
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Telephone | 336-296-3101
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Fax | 336-296-3102
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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 | 5019954
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License Number State | NC
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