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NPI Code Detail

MEDICARE: SHAQWUANA MITCHELL

MEDICARE: SHAQWUANA MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1497613582
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAQWUANA MITCHELL
Provider Business Mailing Address
First Line : 2230 N FAYETTEVILLE ST APT 8C
Second Line :
City : ASHEBORO
State : NC
Zip : 27203-3663
Country : US
Telephone Number : 646-244-7178
Fax Number :
Provider Business Practice Location Address
First Line : 234 CEDAR LODGE RD
Second Line :
City : THOMASVILLE
State : NC
Zip : 27360-6143
Country : US
Telephone Number : 646-244-7178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ SHAQWUANA MITCHELL ” Practice Location

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