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General NPI Number Information
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NPI Number | 1376652875
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Entity Type | Individual
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Provider Name | NORMA J SHAW RN, MS, CS
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1162 G A R HWY SUITE 1
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City | SWANSEA
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State | MA
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Zip | 02777-4224
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Country | US
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Telephone | 508-674-0038
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Fax | 508-673-1638
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Provider Business Mailing Address
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Address Line | 1162 G A R HWY SUITE 1
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City | SWANSEA
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State | MA
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Zip | 02777-4224
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Country | US
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Telephone | 508-674-0038
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Fax | 508-673-1638
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 91459
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License Number State | MA
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