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General NPI Number Information
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NPI Number | 1699226860
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Entity Type | Individual
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Provider Name | SHANNA RAHMAAN CNP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5921 W 12TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1623
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Country | US
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Telephone | 501-801-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 3724 SIERRA FOREST DR
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City | LITTLE ROCK
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State | AR
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Zip | 72212-2413
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Country | US
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Telephone | 501-247-3197
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A004886
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License Number State | AR
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