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General NPI Number Information
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NPI Number | 1255785515
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Entity Type | Individual
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Provider Name | SHANNON POWELL FNP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5799 STETSON HILLS BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-4223
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Country | US
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Telephone | 719-471-2273
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Fax | 719-380-0228
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Provider Business Mailing Address
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Address Line | 19246 E IDAHO PL UNIT 103
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City | AURORA
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State | CO
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Zip | 80017-6360
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Country | US
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Telephone | 719-440-4148
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3017791
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License Number State | KY
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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 | 10256
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10256
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0992329-NP
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License Number State | CO
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