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General NPI Number Information
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NPI Number | 1437451135
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Entity Type | Individual
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Provider Name | SHAWN MICHAEL REEVES RN, MSN, ACPNP
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Gender | Male
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 602 INDIANA AVE
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City | LUBBOCK
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State | TX
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Zip | 79415-3364
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Country | US
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Telephone | 806-775-8813
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Fax | 806-775-9182
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Provider Business Mailing Address
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Address Line | 5219 CITY BANK PKWY STE 35
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City | LUBBOCK
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State | TX
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Zip | 79407-3545
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Country | US
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Telephone | 806-761-0333
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Fax | 806-782-0097
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 706203
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | AP119749
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP119749
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License Number State | TX
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