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General NPI Number Information
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NPI Number | 1902691140
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Entity Type | Individual
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Provider Name | TANIQUE SHAYAN HOWARD-BOONE DNP, NNP-BC, RNC-NIC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 3 SKYLARK CT
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City | TIFTON
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State | GA
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Zip | 31793-8366
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Country | US
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Telephone | 229-457-0691
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SKYLARK CT
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City | TIFTON
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State | GA
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Zip | 31793-8366
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Country | US
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Telephone | 229-457-0691
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | NP295718
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN295718
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License Number State | GA
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