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General NPI Number Information
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NPI Number | 1366070278
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Entity Type | Individual
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Provider Name | SHANNON CARUSO-FIELDS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 10548 HARRISON AVE STE 2000
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City | HARRISON
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State | OH
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Zip | 45030-2902
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Country | US
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Telephone | 513-560-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 1398 OBERTING RD
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City | GREENDALE
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State | IN
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Zip | 47025-9453
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Country | US
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Telephone | 513-560-2904
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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 | APRN.CNP.026177
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License Number State | OH
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