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General NPI Number Information
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NPI Number | 1760890115
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Entity Type | Individual
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Provider Name | JOI SHY NP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 9001 SUMMA AVE
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City | BATON ROUGE
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State | LA
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Zip | 70809-3726
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Country | US
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Telephone | 225-761-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 17644 N GREENS AVE
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City | BATON ROUGE
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State | LA
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Zip | 70810-8930
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Country | US
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Telephone | 225-223-1072
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07754
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP07754
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License Number State | LA
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