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General NPI Number Information
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NPI Number | 1649123845
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Entity Type | Individual
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Provider Name | SANTAY SHAW RUSSELL PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 4237 SALT SPRINGS LN
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City | LAKELAND
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State | FL
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Zip | 33811-1893
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Country | US
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Telephone | 954-470-5460
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Fax |
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Provider Business Mailing Address
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Address Line | 4237 SALT SPRINGS LN
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City | LAKELAND
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State | FL
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Zip | 33811-1893
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Country | US
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Telephone | 954-470-5460
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11045383
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License Number State | FL
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