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General NPI Number Information
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NPI Number | 1104548718
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Entity Type | Individual
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Provider Name | SHANNON HESTER ALLEY DNP,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 6 REGIONAL DR STE D
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City | PINEHURST
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State | NC
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Zip | 28374-9868
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Country | US
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Telephone | 910-221-7195
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Fax | 910-660-0984
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Provider Business Mailing Address
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Address Line | 4731 CENTER RD
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City | BLADENBORO
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State | NC
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Zip | 28320-8279
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Country | US
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Telephone | 910-874-0491
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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 | 5019304
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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