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General NPI Number Information
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NPI Number | 1245886100
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Entity Type | Individual
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Provider Name | SHEILA KAY MITCHELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 301 FISHER ST
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City | KEESLER AFB
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 301 FISHER ST
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City | KEESLER AFB
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-3788
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 70819
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License Number State | NM
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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 | 1-133463
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 906629
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License Number State | MS
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