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General NPI Number Information
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NPI Number | 1780414060
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Entity Type | Individual
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Provider Name | SHANNON GAINES
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Gender | Female
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 23323 87TH ST
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City | SALEM
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State | WI
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Zip | 53168-9437
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Country | US
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Telephone | 262-977-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 23323 87TH ST
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City | SALEM
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State | WI
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Zip | 53168-9437
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 041.527344
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 234239-30
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License Number State | WI
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