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General NPI Number Information
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NPI Number | 1912793191
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Entity Type | Individual
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Provider Name | SHANERICKA DASHAEE DILLARD NHACPT
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Gender | Female
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 8330 LYNDON B JOHNSON FWY STE 674
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City | DALLAS
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State | TX
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Zip | 75243-1332
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Country | US
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Telephone | 469-866-3173
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Fax |
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Provider Business Mailing Address
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Address Line | 8330 LYNDON B JOHNSON FWY STE 674
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City | DALLAS
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State | TX
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Zip | 75243-1332
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Country | US
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Telephone | 469-866-3173
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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 | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number | Y8E8L8D8
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | Y8E8L8D8
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License Number State | TX
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