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General NPI Number Information
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NPI Number | 1215479803
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Entity Type | Individual
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Provider Name | SHYNE PILLAI ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 3105 N UNIVERSITY DR
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2222
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Country | US
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Telephone | 954-438-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 3105 N UNIVERSITY DR
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2222
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 9407214
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP 9407214
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License Number State | FL
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