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NPI 1215934310

NPI 1215934310 : STEVEN R SHELTON MD : JEFFERSONVILLE, IN

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General NPI Number Information
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    NPI Number           |    1215934310
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN R SHELTON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/05/2005
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    Last Update Date     |    09/09/2025
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Provider Practice Location Address
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    Address Line         |    1507 SPRING STREET 
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    City                 |    JEFFERSONVILLE
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    State                |    IN
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    Zip                  |    47130-2939
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    Country              |    US
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    Telephone            |    407-347-4536
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    Fax                  |    812-285-8392
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Provider Business Mailing Address
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    Address Line         |    1507 SPRING STREET 
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    City                 |    JEFFERSONVILLE
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    State                |    IN
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    Zip                  |    47130-2939
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    Country              |    US
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    Telephone            |    407-347-4536
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    Fax                  |    812-285-8392
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    01037556A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    50015
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    License Number State |    AL
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    24712
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    01037556
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    License Number State |    IN
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