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General NPI Number Information
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NPI Number | 1669910188
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Entity Type | Individual
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Provider Name | SHEENA LEDBETTER AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 300 NORTH AVE 1ST FLOOR, OUTPATIENT CENTER
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3307
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Country | US
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Telephone | 269-245-8640
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Fax |
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Provider Business Mailing Address
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Address Line | 205 PINE KNOLL DR APT 2A
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City | BATTLE CREEK
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State | MI
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Zip | 49014-7762
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Country | US
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Telephone | 269-788-4166
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704219862
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704219862
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License Number State | MI
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