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General NPI Number Information
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NPI Number | 1629743604
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Entity Type | Individual
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Provider Name | SHAWN DANIELS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 222 E UNIVERSITY AVE # 44
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City | GAINESVILLE
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State | FL
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Zip | 32601-5456
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Country | US
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Telephone | 352-334-5037
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Fax | 352-334-3185
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Provider Business Mailing Address
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Address Line | 105 CLEAR LAKE LN
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City | HAWTHORNE
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State | FL
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Zip | 32640-5323
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Country | US
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Telephone | 352-231-3086
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11014803
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License Number State | FL
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