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General NPI Number Information
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NPI Number | 1558192989
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Entity Type | Individual
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Provider Name | SHAQUITA COLEMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1905 SKIBO RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-0260
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Country | US
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Telephone | 910-864-4357
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Fax | 910-221-0099
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Provider Business Mailing Address
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Address Line | 2109 VALLEYGATE DR STE 201
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3571
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Country | US
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Telephone | 910-486-8880
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Fax | 910-486-8886
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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 | F05240634
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License Number State | NC
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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 | 5020612
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License Number State | NC
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