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General NPI Number Information
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NPI Number | 1740574979
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Entity Type | Individual
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Provider Name | SHANON RENEE HILL APN
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Gender | Female
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 1 CHILDRENS WAY # 512
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City | LITTLE ROCK
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State | AR
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Zip | 72202-3500
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Country | US
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Telephone | 501-364-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 8007 RIDGESTONE CV
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City | ALEXANDER
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State | AR
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Zip | 72002-9276
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Country | US
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Telephone | 501-847-8024
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | A03554 ANP
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License Number State | AR
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