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General NPI Number Information
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NPI Number | 1710041363
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Entity Type | Individual
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Provider Name | SUSAN SIGMAN SHELTON RN
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 GOVERNMENT CIR
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City | GREENVILLE
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State | NC
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Zip | 27834-8198
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Country | US
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Telephone | 252-902-2348
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Fax | 252-413-1433
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Provider Business Mailing Address
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Address Line | 1340 TALL TIMBERS E
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City | WILLIAMSTON
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State | NC
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Zip | 27892-7203
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Country | US
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Telephone | 252-902-2348
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Fax | 252-413-1433
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 081517
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License Number State | NC
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