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General NPI Number Information
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NPI Number | 1174161707
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Entity Type | Individual
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Provider Name | ANNA SHRUM
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Gender | Female
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 81 DEVELOPMENT DR.
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City | YELLVILLE
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State | AR
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Zip | 72687
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Country | US
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Telephone | 870-232-2214
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Fax | 870-449-4020
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Provider Business Mailing Address
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Address Line | 81 DEVELOPMENT DR
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City | YELLVILLE
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State | AR
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Zip | 72687-7039
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Country | US
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Telephone | 870-232-2214
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Fax | 870-449-4020
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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