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General NPI Number Information
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NPI Number | 1316461668
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Entity Type | Individual
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Provider Name | BRITTANY SHELTON RN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1 TITUS PL
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City | WALTON
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State | NY
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Zip | 13856-1457
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Country | US
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Telephone | 607-338-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 8 FLYNN ST
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City | WALTON
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State | NY
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Zip | 13856-1108
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Country | US
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Telephone | 607-338-0230
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 329269
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 848127-01
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License Number State | NY
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