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General NPI Number Information
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NPI Number | 1740685627
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Entity Type | Individual
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Provider Name | SHANDELL SEARS RN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 3409 EXECUTIVE CENTER DR STE 113
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City | AUSTIN
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State | TX
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Zip | 78731-1619
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Country | US
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Telephone | 512-359-3703
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Fax |
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Provider Business Mailing Address
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Address Line | 32701 NORTH RANCH ROAD 12 #A
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620
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Country | US
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Telephone | 512-584-6304
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 663488
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License Number State | TX
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