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General NPI Number Information
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NPI Number | 1760745707
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Entity Type | Individual
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Provider Name | SHAYLA J. PEARSON APN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 425 WOODBURY TURNERSVILLE RD
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City | BLACKWOOD
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State | NJ
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Zip | 08012
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Country | US
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Telephone | 856-374-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 765 ROUTE 70 E BLDG A-101
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City | MARLTON
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State | NJ
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Zip | 08053-2341
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP01187
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ00383900
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License Number State | NJ
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