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General NPI Number Information
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NPI Number | 1003706243
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Entity Type | Individual
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Provider Name | SHELBY LYNN ROUSSEL PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2820 NAPOLEON AVE STE 220
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City | NEW ORLEANS
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State | LA
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Zip | 70115-8202
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Country | US
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Telephone | 504-703-9640
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Fax |
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Provider Business Mailing Address
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Address Line | 108 E 1ST ST
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City | RESERVE
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State | LA
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Zip | 70084-5450
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Country | US
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Telephone | 985-360-6351
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.025810
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License Number State | LA
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