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General NPI Number Information
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NPI Number | 1750147799
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Entity Type | Individual
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Provider Name | ERIKA DREW SHAW APRN
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 200 RESEARCH DR
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City | MANHATTAN
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State | KS
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Zip | 66503-3049
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Country | US
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Telephone | 785-539-4644
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Fax | 785-539-8010
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Provider Business Mailing Address
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Address Line | 1317 PINEHURST CIR
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City | LAWRENCE
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State | KS
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Zip | 66049-3818
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Country | US
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Telephone | 917-605-3730
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-82747-022
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License Number State | KS
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