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General NPI Number Information
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NPI Number | 1568656718
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Entity Type | Individual
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Provider Name | BOYD S SHUMATE ARNP
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Gender | Male
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 330 SW OAKLEY AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1995
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Country | US
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Telephone | 785-233-1730
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Fax | 785-233-0085
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Provider Business Mailing Address
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Address Line | 330 SW OAKLEY AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1995
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Country | US
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Telephone | 785-233-1730
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Fax | 785-233-0085
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 46054
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2011035319
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License Number State | MO
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