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General NPI Number Information
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NPI Number | 1588943435
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Entity Type | Individual
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Provider Name | SHAUNA L ELLEFSON NP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 12/29/2012
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Provider Practice Location Address
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Address Line | 1620 S CELEBRATION AVE STE 400
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City | MERIDIAN
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State | ID
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Zip | 83642-2779
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Country | US
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Telephone | 208-884-1030
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Fax | 208-884-3058
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone | 208-381-2222
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP-1089A
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License Number State | ID
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