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General NPI Number Information
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NPI Number | 1851910624
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Entity Type | Individual
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Provider Name | SHAMEKA MOBLEY
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Gender | Female
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 319 SW 6TH ST
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City | CHIEFLAND
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State | FL
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Zip | 32626-0415
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Country | US
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Telephone | 352-364-3917
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Fax |
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Provider Business Mailing Address
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Address Line | 319 SW 6TH ST
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City | CHIEFLAND
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State | FL
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Zip | 32626-0415
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Country | US
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Telephone | 352-215-3268
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 236619
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 413513
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License Number State | FL
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