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General NPI Number Information
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NPI Number | 1871301952
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Entity Type | Individual
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Provider Name | SHAWN AMERSI APRN
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Gender | Male
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 13988 DIPLOMAT DR STE 100C
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-8807
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Country | US
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Telephone | 972-548-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 7915 SWENSON DR
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City | IRVING
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State | TX
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Zip | 75063-0147
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Country | US
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Telephone | 214-517-9238
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1065949
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1065949
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License Number State | TX
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