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General NPI Number Information
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NPI Number | 1649895673
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Entity Type | Individual
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Provider Name | SHANNE JONES FOXX NP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 2001 VAN HAVEN DR
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City | STATESVILLE
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State | NC
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Zip | 28625-4342
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Country | US
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Telephone | 980-866-8604
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Fax |
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Provider Business Mailing Address
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Address Line | 8920 LAWYERS RD UNIT 23694
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City | MINT HILL
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State | NC
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Zip | 28227-8886
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Country | US
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Telephone | 980-263-7550
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5013284
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 241900
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License Number State | NC
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