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General NPI Number Information
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NPI Number | 1316425176
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Entity Type | Individual
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Provider Name | SHANEE M EUREN RN, BSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 755 SUNRISE AVE STE 145
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City | ROSEVILLE
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State | CA
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Zip | 95661-4599
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Country | US
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Telephone | 916-367-1535
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Fax |
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Provider Business Mailing Address
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Address Line | 2351 SUNSET BLVD, STE 170 #146
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City | ROCKLIN
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State | CA
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Zip | 95765
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Country | US
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Telephone | 916-367-1535
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN719045
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License Number State | CA
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