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General NPI Number Information
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NPI Number | 1336815455
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Entity Type | Individual
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Provider Name | JUSTIN HARRIS SHEAR APRN
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 3838 N. CAMPBELL AVE BLDG 2 2ND FLOOR
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City | TUCSON
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State | AZ
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Zip | 85719
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Country | US
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Telephone | 520-694-4000
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Fax | 520-874-7042
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Provider Business Mailing Address
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Address Line | 6950 E GOLF LINKS RD
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City | TUCSON
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State | AZ
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Zip | 85730-1017
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Country | US
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Telephone | 206-795-2200
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 261971
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License Number State | AZ
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