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General NPI Number Information
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NPI Number | 1851120273
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Entity Type | Individual
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Provider Name | SHALIAH JANAE HOWARD WHNP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 417 S KING ST
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City | SEGUIN
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State | TX
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Zip | 78155-5838
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Country | US
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Telephone | 830-372-2791
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Fax | 830-386-0241
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Provider Business Mailing Address
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Address Line | 1215 E COURT ST
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City | SEGUIN
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State | TX
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Zip | 78155-5129
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Country | US
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Telephone | 830-401-7558
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Fax | 830-401-7640
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1169570
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License Number State | TX
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