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General NPI Number Information
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NPI Number | 1265239768
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Entity Type | Individual
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Provider Name | SHELBI LEDGERWOOD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1643 DUNLAP AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-3915
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Country | US
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Telephone | 317-988-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 404 FLETCHER LN
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City | BEECH GROVE
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State | IN
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Zip | 46107-2053
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Country | US
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Telephone | 317-749-6890
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 33012766A
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License Number State | IN
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