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General NPI Number Information
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NPI Number | 1104635366
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Entity Type | Individual
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Provider Name | SHELLEY RENEE WEBB CNP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 272 HOSPITAL RD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9031
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Country | US
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Telephone | 740-779-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 150 W MITCHELL ST
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City | JACKSON
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State | OH
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Zip | 45640-1222
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Country | US
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Telephone | 740-418-6958
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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 | LE-00053737
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License Number State | OH
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