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General NPI Number Information
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NPI Number | 1841124575
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Entity Type | Individual
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Provider Name | MARY ANTIONETTE SHUTE LPN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1852 SINCLAIR AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43953-3328
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Country | US
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Telephone | 740-762-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 CHARLES ST REAR
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City | WELLSBURG
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State | WV
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Zip | 26070-1409
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Country | US
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Telephone | 304-914-8230
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 128154
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License Number State | OH
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