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General NPI Number Information
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NPI Number | 1831302264
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Entity Type | Individual
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Provider Name | LASHELLE SHONETTE HENDERSON MSN,FNP-BC,PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 150 CROSS ST
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City | AKRON
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State | OH
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Zip | 44311-1026
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Country | US
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Telephone | 330-996-9141
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Fax |
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Provider Business Mailing Address
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Address Line | 5241 WILSON MILLS RD # 35C
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City | RICHMOND HTS
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State | OH
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Zip | 44143-2150
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Country | US
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Telephone | 440-221-2449
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Fax | 440-448-4912
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN.303252
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License Number State | OH
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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 | 2012017792
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2019076475
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License Number State | OH
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