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General NPI Number Information
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NPI Number | 1457575102
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Entity Type | Individual
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Provider Name | SHAYNA DAWN PIEDIMONTE MSN, RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 709 E PINE
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City | ARCHIE
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State | MO
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Zip | 64725
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Country | US
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Telephone | 816-430-5777
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Fax | 816-430-5219
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Provider Business Mailing Address
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Address Line | PO BOX 46
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City | ARCHIE
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State | MO
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Zip | 64725-0046
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Country | US
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Telephone | 816-430-5777
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Fax | 816-430-5219
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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 | 2000163224
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License Number State | MO
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