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General NPI Number Information
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NPI Number | 1245952613
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Entity Type | Individual
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Provider Name | SHANNON SPIKES SCOTT IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 12927 PICKET HILLS LN
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City | HUMBLE
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State | TX
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Zip | 77346-3791
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Country | US
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Telephone | 817-703-2145
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Fax |
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Provider Business Mailing Address
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Address Line | 3727 PALMETTO CREEK DR
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City | KINGWOOD
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State | TX
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Zip | 77339-2615
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Country | US
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Telephone | 817-703-2145
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-24856
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License Number State | TX
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