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General NPI Number Information
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NPI Number | 1588470272
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Entity Type | Individual
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Provider Name | SHELLEY RENEE REED-POUNCY APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2817 STARK ST STE D
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City | FORT WORTH
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State | TX
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Zip | 76112-6562
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Country | US
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Telephone | 817-451-6413
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Fax | 817-451-6414
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Provider Business Mailing Address
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Address Line | 2817 STARK ST STE D
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City | FORT WORTH
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State | TX
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Zip | 76112-6562
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Country | US
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Telephone | 817-451-6413
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 893682
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 893682
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1181013
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License Number State | TX
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