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General NPI Number Information
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NPI Number | 1326705591
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Entity Type | Individual
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Provider Name | ANGELA RENEE SHULL
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Gender | Female
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 536 MILL ST
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-2322
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Country | US
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Telephone | 937-701-7016
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Fax |
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Provider Business Mailing Address
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Address Line | 462 STANLEY ST
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-3457
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Country | US
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Telephone | 740-804-3470
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 162932
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 0002787
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License Number State | OH
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