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General NPI Number Information
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NPI Number | 1114833548
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Entity Type | Individual
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Provider Name | SHELBY MARIE VANDERMOERE NRP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 513 S BLOOMINGTON ST
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City | GREENCASTLE
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State | IN
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Zip | 46135-2113
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Country | US
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Telephone | 765-655-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 RIDDLE RD
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City | SPENCER
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State | IN
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Zip | 47460-5588
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Country | US
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Telephone | 765-655-4340
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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 | 146E00000X
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Taxonomy Name | Community Paramedic
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License Number | 0229-4901
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License Number State | IN
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