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General NPI Number Information
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NPI Number | 1134098478
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Entity Type | Individual
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Provider Name | SHELBY JENNETT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 33 ENCINA AVE STE 103
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City | PALO ALTO
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State | CA
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Zip | 94301-2343
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Country | US
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Telephone | 650-853-0321
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Fax | 650-853-0359
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Provider Business Mailing Address
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Address Line | 33 ENCINA AVE STE 103
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City | PALO ALTO
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State | CA
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Zip | 94301-2343
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Country | US
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Telephone | 650-853-0321
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Fax | 650-853-0359
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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