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General NPI Number Information
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NPI Number | 1144675687
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Entity Type | Individual
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Provider Name | DONG MI SHON
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Gender | Female
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 6001 CUMMING HWY
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City | SUGAR HILL
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State | GA
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Zip | 30518-6112
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Country | US
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Telephone | 678-546-2148
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932958 CLEVELAND
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City | CLEVELAND
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State | OH
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Zip | 44193-5001
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-65937
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-1852
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN301293
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License Number State | GA
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