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General NPI Number Information
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NPI Number | 1942870241
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Entity Type | Individual
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Provider Name | SHANEKIA MARSH NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 244 PEACHTREE ST
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City | JESUP
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State | GA
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Zip | 31545-0212
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Country | US
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Telephone | 912-385-2453
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Fax | 912-559-2083
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Provider Business Mailing Address
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Address Line | PO BOX 1520
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City | HINESVILLE
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State | GA
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Zip | 31310-8520
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Country | US
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Telephone | 912-545-9398
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Fax | 912-545-2747
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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 | APRN11023508
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN216947
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License Number State | GA
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