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General NPI Number Information
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NPI Number | 1235313750
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Entity Type | Individual
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Provider Name | SANDRA KAY SHIPLEY RNP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 3637 ARLINGTON AVE # E202
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City | RIVERSIDE
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State | CA
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Zip | 92506-3923
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Country | US
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Telephone | 951-683-4675
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Fax | 951-683-1148
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Provider Business Mailing Address
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Address Line | 3637 ARLINGTON AVE # E202
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City | RIVERSIDE
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State | CA
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Zip | 92506-3923
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Country | US
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Telephone | 951-683-4675
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Fax | 951-683-1148
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 8248
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 8248
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 8242
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License Number State | CA
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