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General NPI Number Information
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NPI Number | 1659177376
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Entity Type | Individual
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Provider Name | SHANNON ROSE NELSON APRN
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Gender | Female
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 22524 MIDDLETOWN DR
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City | BOCA RATON
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State | FL
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Zip | 33428-4709
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Country | US
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Telephone | 561-305-6126
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Fax |
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Provider Business Mailing Address
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Address Line | 22524 MIDDLETOWN DR
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City | BOCA RATON
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State | FL
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Zip | 33428-4709
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Country | US
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Telephone | 561-305-6126
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11034493
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License Number State | FL
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