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General NPI Number Information
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NPI Number | 1801719687
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Entity Type | Individual
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Provider Name | SHAJUANA JANELLE TAYLOR APRN, ACCNS-AG
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 5000 GATEWAY BLVD
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City | GROVETOWN
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State | GA
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Zip | 30813-3353
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Country | US
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Telephone | 762-622-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 3125 FAITHFUL WAY
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City | GROVETOWN
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State | GA
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Zip | 30813-0530
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Country | US
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Telephone | 706-910-2499
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | APRN-CNS-280383
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License Number State | GA
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