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General NPI Number Information
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NPI Number | 1497424543
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Entity Type | Individual
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Provider Name | SHANNA BROOKE GUESS APRN
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Gender | Female
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Dates
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Enumeration Date | 09/12/2021
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1035 RED BUD RD NE STE 101
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City | CALHOUN
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State | GA
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Zip | 30701-6011
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Country | US
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Telephone | 706-625-4285
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Fax | 706-625-3905
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Provider Business Mailing Address
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Address Line | 1035 RED BUD RD NE STE 101
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City | CALHOUN
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State | GA
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Zip | 30701-6011
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Country | US
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Telephone | 706-625-4285
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Fax | 706-625-3905
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN175364
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP175364
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License Number State | GA
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