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General NPI Number Information
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NPI Number | 1174953087
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Entity Type | Organization
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Legal Business Name | SHAUNA NORTON, ANP, LLC
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 51708 KENAI SPUR HWY # B-7594
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City | NIKISKI
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State | AK
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Zip | 99635-9800
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Country | US
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Telephone | 907-782-4544
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Fax | 877-253-6065
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Provider Business Mailing Address
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Address Line | PO BOX 7594
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City | NIKISKI
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State | AK
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Zip | 99635-7594
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Country | US
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Telephone | 907-782-4544
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Fax | 877-253-6065
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Authorized Official
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Title or Position | OWNER
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Name | SHAUNA NORTON
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Credential |
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Telephone | 907-782-4544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1215
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License Number State | AK
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