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General NPI Number Information
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NPI Number | 1366314239
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Entity Type | Individual
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Provider Name | SHAUN A CREARY-WALKER DNP, FNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | PO BOX 195601
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City | WINTER SPRINGS
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State | FL
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Zip | 32719-5601
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Country | US
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Telephone | 860-944-5251
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Fax |
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Provider Business Mailing Address
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Address Line | 751 MAPLE LEAF LOOP
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-0002
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Country | US
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Telephone | 860-944-5251
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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 | APRN11042362
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License Number State | FL
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