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General NPI Number Information
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NPI Number | 1588777221
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Entity Type | Individual
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Provider Name | ANN MORRIS SHAWHAN FNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 1715 PRATT DR SUITE 1100
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City | BLACKSBURG
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State | VA
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Zip | 24060-6385
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Country | US
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Telephone | 540-443-3980
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Fax | 540-443-3984
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Provider Business Mailing Address
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Address Line | 1715 PRATT DR SUITE 1100
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City | BLACKSBURG
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State | VA
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Zip | 24060-6385
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Country | US
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Telephone | 540-443-3980
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Fax | 540-443-3984
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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 | 0223000314
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License Number State | VA
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