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General NPI Number Information
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NPI Number | 1851451249
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Entity Type | Individual
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Provider Name | SHANNON RIO FNP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 246 CATALINA DR SUITE 5
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City | ASHLAND
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State | OR
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Zip | 97520-1624
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Country | US
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Telephone | 541-488-3221
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Fax | 541-488-5884
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Provider Business Mailing Address
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Address Line | 246 CATALINA DR SUITE 5
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City | ASHLAND
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State | OR
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Zip | 97520-1624
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Country | US
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Telephone | 541-488-3221
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Fax | 541-488-5884
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 085074775N1
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License Number State | OR
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