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General NPI Number Information
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NPI Number | 1952555989
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Entity Type | Individual
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Provider Name | SHANELL MICHELLE GEORGE APRN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 6280 SW 72ND ST STE 410
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4860
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Country | US
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Telephone | 786-596-5034
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Fax | 786-591-6096
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Provider Business Mailing Address
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Address Line | PO BOX 198054
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City | ATLANTA
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State | GA
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Zip | 30384-8054
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Country | US
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Telephone | 786-662-7980
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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 | APRN9214624
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License Number State | FL
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