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General NPI Number Information
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NPI Number | 1316066574
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Entity Type | Individual
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Provider Name | MARCI ANN SHEWRY N.P.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 2626 EL CAMINO REAL STE B
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City | CARLSBAD
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State | CA
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Zip | 92008-1253
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Country | US
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Telephone | 760-729-2351
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Fax | 760-729-9675
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Provider Business Mailing Address
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Address Line | 13354 KIBBINGS RD
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City | SAN DIEGO
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State | CA
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Zip | 92130-1233
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Country | US
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Telephone | 858-792-2641
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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 | B337669
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License Number State | CA
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