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General NPI Number Information
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NPI Number | 1093502478
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Entity Type | Individual
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Provider Name | SHAMEKAH SHAW RN
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 427 NW RAVENSWOOD LN
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-1156
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Country | US
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Telephone | 772-626-6376
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Fax |
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Provider Business Mailing Address
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Address Line | 427 NW RAVENSWOOD LN
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-1156
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Country | US
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Telephone | 772-626-6376
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN9316669
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | RN9316669
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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