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General NPI Number Information
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NPI Number | 1093521486
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Entity Type | Individual
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Provider Name | JULIE LYNNE SHINN APRN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/15/2024
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Provider Practice Location Address
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Address Line | 4725 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4603
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Country | US
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Telephone | 954-771-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 8275 NW 127TH LN
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City | PARKLAND
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State | FL
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Zip | 33076-4911
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Country | US
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Telephone | 314-258-2212
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11036541
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License Number State | FL
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