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General NPI Number Information
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NPI Number | 1679396238
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Entity Type | Individual
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Provider Name | SHAWNTE FLOYD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 140 E 14TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-4418
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Country | US
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Telephone | 317-200-4667
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Fax | 317-419-3131
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Provider Business Mailing Address
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Address Line | 140 E 14TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-4418
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Country | US
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Telephone | 317-200-4667
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Fax | 317-419-3131
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 27081216A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 24-016473-1
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 24-016473-1
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 24-016473-1
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License Number State | IN
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