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General NPI Number Information
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NPI Number | 1326037151
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Entity Type | Individual
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Provider Name | SHELLEY C SPRINGER MD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 940 E 3RD ST STE 205
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City | CASPER
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State | WY
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Zip | 82601
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Country | US
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Telephone | 307-577-4260
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Fax | 307-577-4263
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Provider Business Mailing Address
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Address Line | 6061 RIVER PARK DR
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City | CASPER
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State | WY
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Zip | 82604-5319
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Country | US
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Telephone | 612-685-6709
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Fax | 307-333-4176
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 04-30620
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9791A
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License Number State | WY
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