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General NPI Number Information
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NPI Number | 1811028194
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Entity Type | Individual
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Provider Name | SHAWNE LEE CASS LPN
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1032 MILTON AVE
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City | JANESVILLE
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State | WI
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Zip | 53545
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Country | US
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Telephone | 608-289-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 MILTON AVE
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City | JANESVILLE
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State | WI
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Zip | 53545
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Country | US
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Telephone | 608-289-7757
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Fax | 608-756-5043
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State | WI
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