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General NPI Number Information
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NPI Number | 1427136969
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Entity Type | Individual
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Provider Name | SHUNA HAMMONDS-THOMAS APRN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/05/2022
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Provider Practice Location Address
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Address Line | 25 RAHLING CIR STE C1
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City | LITTLE ROCK
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State | AR
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Zip | 72223-6000
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Country | US
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Telephone | 501-952-6868
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Fax | 501-868-7365
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Provider Business Mailing Address
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Address Line | 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-539-9582
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | A01741
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License Number State | AR
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