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General NPI Number Information
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NPI Number | 1154209716
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Entity Type | Individual
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Provider Name | SHELBY LYNN SANDERSON MS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 2202 RICHOAK DR
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City | GARLAND
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State | TX
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Zip | 75044-7524
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Country | US
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Telephone | 972-675-8065
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Fax |
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Provider Business Mailing Address
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Address Line | 846 SCENIC RANCH CIR
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City | FAIRVIEW
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State | TX
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Zip | 75069-1910
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Country | US
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Telephone | 832-657-3297
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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