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General NPI Number Information
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NPI Number | 1104845056
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Entity Type | Individual
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Provider Name | ANNETTE MARIE SHELTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 2011 E LAMAR BLVD STE 100
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City | ARLINGTON
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State | TX
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Zip | 76006-7332
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Country | US
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Telephone | 817-548-0504
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Fax | 817-861-8845
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Provider Business Mailing Address
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Address Line | 2011 E LAMAR BLVD STE 100
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City | ARLINGTON
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State | TX
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Zip | 76006-7332
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Country | US
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Telephone | 817-548-0504
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Fax | 817-861-8845
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G5606
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License Number State | TX
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