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General NPI Number Information
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NPI Number | 1225409527
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Entity Type | Individual
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Provider Name | CYNTHIA DEMAO SHIERTS
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Gender | Female
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 611 MOCKSVILLE AVE STE 202
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City | SALISBURY
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State | NC
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Zip | 28144-2738
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Country | US
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Telephone | 704-642-0823
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Fax | 704-642-0884
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Provider Business Mailing Address
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Address Line | 3158 FREEDOM DR STE 3102
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City | CHARLOTTE
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State | NC
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Zip | 28208-0014
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Country | US
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Telephone | 704-971-7099
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Fax | 704-971-0035
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 116080
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 116080
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License Number State | NC
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