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General NPI Number Information
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NPI Number | 1851955033
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Entity Type | Individual
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Provider Name | SHAQUITTA LASHAE HOOD LVN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 1201 W FRANK AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3357
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Country | US
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Telephone | 936-632-1415
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 SAYERS ST APT 1901
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City | LUFKIN
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State | TX
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Zip | 75904-1136
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Country | US
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Telephone | 936-219-3022
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 341532
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License Number State | TX
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