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General NPI Number Information
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NPI Number | 1487281648
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Entity Type | Individual
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Provider Name | SHYANNE WERNER
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 7333 INTERNATIONAL PL
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-8418
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Country | US
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Telephone | 941-907-3443
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 24TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-4546
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Country | US
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Telephone | 813-570-0177
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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