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General NPI Number Information
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NPI Number | 1164098281
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Entity Type | Individual
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Provider Name | SHELBY LYNN SLOANE CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2021
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Last Update Date | 05/30/2021
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Provider Practice Location Address
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Address Line | 701 E MARSHALL ST 2 PAV, RM 060
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City | WEST CHESTER
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State | PA
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Zip | 19380
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Country | US
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Telephone | 610-738-2694
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Fax |
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Provider Business Mailing Address
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Address Line | 43 W CENTRAL AVE
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City | PAOLI
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State | PA
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Zip | 19301-1317
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Country | US
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Telephone | 860-805-3555
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP023066
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License Number State | PA
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