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General NPI Number Information
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NPI Number | 1649877200
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Entity Type | Individual
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Provider Name | SHALOM BARILE APRN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1372 PEACHTREE ST NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30309-3203
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Country | US
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Telephone | 470-964-1700
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Fax | 678-288-5639
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Provider Business Mailing Address
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Address Line | 6520 FORT CAROLINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32277-2044
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Country | US
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Telephone | 904-745-3618
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Fax | 904-722-4271
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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 | 11009461
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11009461
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License Number State | FL
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