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General NPI Number Information
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NPI Number | 1801165105
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Entity Type | Individual
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Provider Name | SHENAYE LYONS ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 500 MCDUFF AVE S
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City | JACKSONVILLE
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State | FL
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Zip | 32254-4250
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Country | US
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Telephone | 45-064-0449
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Fax | 904-490-8544
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Provider Business Mailing Address
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Address Line | 12171 SW 268TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-8001
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Country | US
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Telephone | 52-780-2003
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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 | AC002580
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License Number State | MD
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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 | 95006148
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP1050173
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9270095
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License Number State | FL
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