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General NPI Number Information
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NPI Number | 1972573236
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Entity Type | Individual
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Provider Name | SCOTT WAYNE SHIFFER FNP
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7119 LANGLEY ST NAVAL BRANCH HEALTH CLINIC
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City | MILTON
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State | FL
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Zip | 32570-6105
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Country | US
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Telephone | 850-623-7173
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Fax |
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Provider Business Mailing Address
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Address Line | 4609 RILEY RD
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City | MILTON
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State | FL
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Zip | 32583-8009
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Country | US
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Telephone |
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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 | 282862
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License Number State | CA
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