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General NPI Number Information
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NPI Number | 1083558720
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Entity Type | Individual
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Provider Name | JEFFREY JEROME SHROPSHIRE BCBA, COBA
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Gender | Male
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 425 METRO PL N STE 100
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City | DUBLIN
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State | OH
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Zip | 43017-5330
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Country | US
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Telephone | 614-956-1229
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Fax |
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Provider Business Mailing Address
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Address Line | 425 METRO PL N STE 100
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City | DUBLIN
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State | OH
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Zip | 43017-5330
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Country | US
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Telephone | 614-956-1229
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 1-24-73950
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License Number State | OH
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