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General NPI Number Information
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NPI Number | 1992564736
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Entity Type | Individual
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Provider Name | BRIANNA SHAUNTE CAPEL RN, CEBP, MAED.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 701 CLEARVIEW DR
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City | MADISONVILLE
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State | KY
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Zip | 42431-3420
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Country | US
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Telephone | 270-399-5969
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Fax |
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Provider Business Mailing Address
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Address Line | 701 CLEARVIEW DR
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City | MADISONVILLE
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State | KY
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Zip | 42431-3420
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Country | US
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Telephone | 270-399-5969
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 4008933
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 4008933
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4008933
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SP0812X
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Taxonomy Name | Community Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 4008933
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 4008933
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number | 4008933
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4008933
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 4008933
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License Number State | KY
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Taxonomy #10
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 4008933
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License Number State | KY
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Taxonomy #11
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 4008933
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License Number State | KY
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