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General NPI Number Information
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NPI Number | 1215461629
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Entity Type | Individual
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Provider Name | JANE-FRANCES SHITI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 3550 BUCKSKIN LOOP NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-1446
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Country | US
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Telephone | 505-316-5984
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Fax | 575-208-0780
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Provider Business Mailing Address
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Address Line | 3550 BUCKSKIN LOOP NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-1446
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Country | US
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Telephone | 575-363-3134
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Fax | 575-208-0780
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP133605
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License Number State | TX
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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 | 57160
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License Number State | NM
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