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General NPI Number Information
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NPI Number | 1578320255
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Entity Type | Individual
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Provider Name | KIAHNA MONET SHELTON MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 7388 BUSINESS CENTER DR
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City | AVON
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State | IN
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Zip | 46123-6973
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Country | US
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Telephone | 888-938-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 620 CEMBRA DR
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City | GREENWOOD
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State | IN
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Zip | 46143-7691
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Country | US
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Telephone | 760-421-8952
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28268361A
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License Number State | IN
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