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General NPI Number Information
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NPI Number | 1972226025
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Entity Type | Individual
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Provider Name | SHANNON SOUTHARD NP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 618 HOSPITAL RD
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-5000
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Country | US
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Telephone | 804-827-9357
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Fax |
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Provider Business Mailing Address
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Address Line | 8513 LEVERET LN
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5484
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Country | US
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Telephone | 804-814-4636
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024185350
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License Number State | VA
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