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General NPI Number Information
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NPI Number | 1073423349
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Entity Type | Individual
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Provider Name | SHANNON WINTERS RN
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 945 W RIO SALADO PKWY
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City | MESA
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State | AZ
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Zip | 85201-3902
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Country | US
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Telephone | 480-472-4433
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Fax | 480-472-4509
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Provider Business Mailing Address
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Address Line | 1025 N COUNTRY CLUB DR STE 111
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City | MESA
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State | AZ
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Zip | 85201-3302
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Country | US
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Telephone | 480-472-4433
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Fax | 480-472-4509
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 320662
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License Number State | AZ
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