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General NPI Number Information
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NPI Number | 1114692951
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Entity Type | Individual
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Provider Name | MRS. SHANNON FIELDS-NEWTON
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Gender | Female
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 3712 APOPKA RIDGE CIR
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City | APOPKA
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State | FL
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Zip | 32703-0004
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Country | US
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Telephone | 321-202-6292
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Fax |
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Provider Business Mailing Address
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Address Line | 3712 APOPKA RIDGE CIR
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City | APOPKA
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State | FL
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Zip | 32703-0004
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Country | US
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Telephone | 321-202-6292
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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