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General NPI Number Information
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NPI Number | 1679700546
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Entity Type | Individual
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Provider Name | SHAUNA S MCCARTHY ANP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 12/30/2022
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Provider Practice Location Address
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Address Line | 2500 OVERLOOK TER
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City | MADISON
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State | WI
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Zip | 53705-2254
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Country | US
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Telephone | 888-478-8321
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Fax |
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Provider Business Mailing Address
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Address Line | 11609 N CIRCLE DR
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City | MILTON
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State | WI
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Zip | 53563-9639
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Country | US
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Telephone | 214-918-1229
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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 | 766613
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License Number State | TX
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