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General NPI Number Information
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NPI Number | 1285176453
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Entity Type | Individual
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Provider Name | SHONNA LYN DILLMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 86567 MEADOWWOOD DR
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City | YULEE
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State | FL
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Zip | 32097-6429
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Country | US
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Telephone | 904-424-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 3424 HIGHWAY 252 EAST
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City | FOLKSTON
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State | GA
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Zip | 31537
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Country | US
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Telephone | 912-496-6905
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9248227
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License Number State | FL
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