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General NPI Number Information
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NPI Number | 1275415762
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Entity Type | Individual
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Provider Name | SHAWNA LEE PARDO NP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 3360 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4323
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Country | US
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Telephone | 561-622-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 18480 41ST RD N
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-1861
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Country | US
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Telephone | 561-951-7629
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11041106
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License Number State | FL
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