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General NPI Number Information
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NPI Number | 1508276676
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Entity Type | Individual
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Provider Name | SHAUNA KEARNS
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Gender | Female
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 4686 E ASBURY CIR
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City | DENVER
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State | CO
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Zip | 80222-4723
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Country | US
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Telephone | 303-756-1566
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Fax | 303-987-0434
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Provider Business Mailing Address
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Address Line | 8555 FAIRMOUNT DRIVE F203
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City | DENVER
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State | CO
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Zip | 80247
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Country | US
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Telephone | 802-345-1226
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 143036578
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License Number State | CO
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