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General NPI Number Information
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NPI Number | 1417176926
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Entity Type | Individual
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Provider Name | SHAWN SHEEHY VAN BUREN ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 737 CAPE CORAL PKWY E
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City | CAPE CORAL
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State | FL
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Zip | 33904-8551
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Country | US
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Telephone | 239-542-0512
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Fax |
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Provider Business Mailing Address
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Address Line | 737 CAPE CORAL PKWY E
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City | CAPE CORAL
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State | FL
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Zip | 33904-8551
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Country | US
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Telephone | 305-799-5379
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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 | 1813602
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 1813602
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License Number State | FL
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