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General NPI Number Information
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NPI Number | 1245580695
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Entity Type | Individual
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Provider Name | SHELBY STRONG FNP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST JOHN H. STROGER JR. HOSPITAL FANTUS GMC
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-6924
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Fax | 312-864-9318
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Provider Business Mailing Address
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Address Line | 1901 W HARRISON ST JOHN H. STROGER JR. HOSPITAL FANTUS GMC
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-6924
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Fax | 312-864-9318
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209009543
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License Number State | IL
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