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General NPI Number Information
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NPI Number | 1649828534
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Entity Type | Individual
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Provider Name | SHOSHAUNA FRANKLIN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 12222 N CENTRAL EXPY STE 340
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City | DALLAS
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State | TX
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Zip | 75243-3755
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Country | US
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Telephone | 972-972-4851
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Fax | 972-556-5202
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Provider Business Mailing Address
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Address Line | PO BOX 1103
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City | DESOTO
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State | TX
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Zip | 75123-1103
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Country | US
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Telephone | 580-574-4347
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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 | AP141679
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License Number State | TX
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