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General NPI Number Information
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NPI Number | 1073810768
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Entity Type | Individual
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Provider Name | MRS. SHIRLEY DENISE NANTON
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Gender | Female
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 4708 CAPITAL CIR NW
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City | TALLAHASSEE
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State | FL
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Zip | 32303-7256
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Country | US
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Telephone | 850-536-0900
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Fax | 850-222-0809
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Provider Business Mailing Address
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Address Line | 3509 RAYMOND DIEHL RD
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City | TALLAHASSEE
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State | FL
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Zip | 32309-3142
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Country | US
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Telephone | 850-590-1150
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Fax | 850-222-0809
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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