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General NPI Number Information
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NPI Number | 1114627700
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Entity Type | Individual
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Provider Name | SHAPELL CARTER-COSEY NP
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Gender | Female
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 17401 W LAKE HOUSTON PKWY APT 8107
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City | HUMBLE
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State | TX
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Zip | 77346-5148
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Country | US
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Telephone | 281-706-9947
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Fax |
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Provider Business Mailing Address
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Address Line | 6106 MORNING FERN LN
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City | HUMBLE
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State | TX
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Zip | 77338-2179
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Country | US
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Telephone | 281-706-9947
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1112093
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License Number State | TX
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