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General NPI Number Information
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NPI Number | 1124986583
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Entity Type | Individual
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Provider Name | PEYTON CONN SHELL
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Gender | Female
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1030 RIVER OAKS DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9553
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Country | US
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Telephone | 601-932-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 134 CHIPPEWA CIR
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City | JACKSON
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State | MS
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Zip | 39211-6513
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Country | US
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Telephone | 601-214-6018
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 902022
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License Number State | MS
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