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General NPI Number Information
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NPI Number | 1104610757
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Entity Type | Individual
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Provider Name | SHANA NOON APRN, CNM, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 9475 BRIAR VILLAGE PT STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7902
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Country | US
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Telephone | 719-367-9405
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Fax | 719-434-9777
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Provider Business Mailing Address
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Address Line | 6690 ALBION ST
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City | COMMERCE CITY
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State | CO
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Zip | 80022-2308
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Country | US
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Telephone | 570-778-6174
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | APN.0999549-CNM
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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