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General NPI Number Information
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NPI Number | 1841762762
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Entity Type | Individual
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Provider Name | SHAWN FAUST DNP
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Gender | Male
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 3740 BREVARD RD UNIT 216
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City | HORSE SHOE
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State | NC
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Zip | 28742-0026
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Country | US
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Telephone | 336-515-1193
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Fax |
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Provider Business Mailing Address
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Address Line | 3740 BREVARD RD UNIT 216
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City | HORSE SHOE
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State | NC
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Zip | 28742-0026
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Country | US
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Telephone | 520-909-3288
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R49981
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN182078
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License Number State | AZ
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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 | 403915
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71015544A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 181097
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License Number State | AK
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 224121
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 230693
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License Number State | AR
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP211665
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License Number State | ME
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0037083
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5014284
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License Number State | NC
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