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General NPI Number Information
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NPI Number | 1871858795
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Entity Type | Individual
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Provider Name | SHANNA ELIZABETH MONEY NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 2750 GAUSE BLVD E
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City | SLIDELL
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State | LA
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Zip | 70461-4149
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Country | US
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Telephone | 985-639-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 4840 HIGHWAY 22 APT. 7-30
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City | MANDEVILLE
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State | LA
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Zip | 70471-2664
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Country | US
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Telephone | 318-542-1390
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP06915
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License Number State | LA
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