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General NPI Number Information
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NPI Number | 1528537602
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Entity Type | Individual
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Provider Name | SHAWN POLICARPO DEUTSCH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2018
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 777 TOWNSHIP LINE RD STE 200
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City | YARDLEY
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State | PA
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Zip | 19067-5564
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Country | US
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Telephone | 215-860-0775
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Fax | 215-860-0429
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Provider Business Mailing Address
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Address Line | 777 TOWNSHIP LINE RD STE 200
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City | YARDLEY
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State | PA
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Zip | 19067-5564
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Country | US
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Telephone | 215-860-0775
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Fax | 215-860-0429
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN599887
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License Number State | PA
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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 | SP019799
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License Number State | PA
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