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General NPI Number Information
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NPI Number | 1154702827
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Entity Type | Individual
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Provider Name | SHELLEY BRAND D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 940 MATTHEW DR
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City | WAYNESBORO
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State | MS
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Zip | 39367
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Country | US
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Telephone | 601-735-7243
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Fax | 601-735-7244
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Provider Business Mailing Address
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Address Line | PO BOX 1249
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City | WAYNESBORO
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State | MS
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Zip | 39367
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Country | US
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Telephone | 601-735-5151
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Fax | 601-735-7244
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 838
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | T55-2015
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD001377
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License Number State | GA
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