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General NPI Number Information
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NPI Number | 1992736110
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Entity Type | Individual
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Provider Name | SHAWNA ANN DORAN A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 14415 NW 144TH PL
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City | ALACHUA
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State | FL
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Zip | 32615-5270
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Country | US
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Telephone | 352-871-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 6228 NW 43RD ST STE B
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City | GAINESVILLE
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State | FL
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Zip | 32653-8871
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Country | US
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Telephone | 352-871-1995
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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 | ARNP1557262
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License Number State | FL
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