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General NPI Number Information
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NPI Number | 1710679758
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Entity Type | Individual
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Provider Name | NUKEYSHA LAFAY SILLMON REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 304 DABNEY ST
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City | TALLADEGA
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State | AL
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Zip | 35160-2925
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Country | US
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Telephone | 904-402-3706
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Fax |
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Provider Business Mailing Address
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Address Line | 304 DABNEY ST
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City | TALLADEGA
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State | AL
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Zip | 35160-2925
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Country | US
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Telephone | 904-402-3706
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 1-147471
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1-147471
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | 1-147471
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 163WC2100X
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Taxonomy Name | Continence Care Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #7
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #8
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #9
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #10
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #11
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #12
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #13
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 1-147471
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License Number State | AL
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Taxonomy #14
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1-147471
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License Number State | AL
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