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General NPI Number Information
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NPI Number | 1770728784
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Entity Type | Individual
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Provider Name | LORETTA LAMBERT SHAMLEY APN-BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 1936 W POPLAR AVE
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City | COLLIERVILLE
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State | TN
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Zip | 38017-0605
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Country | US
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Telephone | 901-853-6012
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Fax | 901-853-6069
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Provider Business Mailing Address
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Address Line | 6799 GREAT OAKS RD STE 150
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City | MEMPHIS
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State | TN
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Zip | 38138-2514
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Country | US
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Telephone | 901-227-3255
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Fax | 901-227-8591
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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 | A003321
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13791
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License Number State | TN
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