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General NPI Number Information
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NPI Number | 1235400623
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Entity Type | Individual
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Provider Name | SHELBY L DENICKE CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 8000 E MAPLEWOOD AVE STE 120
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4766
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Country | US
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Telephone | 303-438-3999
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Fax | 720-439-9500
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Provider Business Mailing Address
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Address Line | 800 E CARPENTER ST
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City | SPRINGFIELD
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State | IL
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Zip | 62769-1000
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Country | US
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Telephone | 217-544-6464
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | C-APN.0102856-C-CRNA
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209020424
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2012001557
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License Number State | MO
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