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General NPI Number Information
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NPI Number | 1578730529
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Entity Type | Individual
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Provider Name | SHENDRY ANYA THOM MSN, APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 55 DAMONTE RANCH PKWY
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City | RENO
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State | NV
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Zip | 89521-2996
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Country | US
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Telephone | 775-852-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 18045 MARANGO RD
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City | RENO
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State | NV
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Zip | 89521-8828
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Country | US
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Telephone | 775-685-0946
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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 | RN52066
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License Number State | NV
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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 | APN001069
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License Number State | NV
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