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General NPI Number Information
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NPI Number | 1932817228
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Entity Type | Individual
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Provider Name | SHEA FEARNEYHOUGH WESLEY NP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2857 CHARLESTOWN RD
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City | NEW ALBANY
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State | IN
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Zip | 47150-1998
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Country | US
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Telephone | 812-944-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 4TH ST SE APT 435
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City | WASHINGTON
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State | DC
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Zip | 20003-4466
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Country | US
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Telephone | 502-548-4749
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP1055896
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4031201
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R261659
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License Number State | MD
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