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General NPI Number Information
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NPI Number | 1982096269
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Entity Type | Individual
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Provider Name | STEPHANIE APRIL SHINN NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 1700 S TAMIAMI TRL STE 205
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City | SARASOTA
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State | FL
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Zip | 34239-3509
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Country | US
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Telephone | 941-917-7070
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Fax | 941-917-4930
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Provider Business Mailing Address
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Address Line | 1700 S TAMIAMI TRL STE 205
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City | SARASOTA
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State | FL
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Zip | 34239-3555
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Country | US
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Telephone | 941-917-9000
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Fax | 941-917-4930
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 9212803
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License Number State | FL
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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 | ARNP9212803
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License Number State | FL
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