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General NPI Number Information
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NPI Number | 1366030512
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Entity Type | Individual
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Provider Name | SHELBY MCHUGH DC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 02/25/2023
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Provider Practice Location Address
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Address Line | 244 MUSTANG TRL STE 4
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7510
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Country | US
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Telephone | 757-317-0124
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Fax |
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Provider Business Mailing Address
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Address Line | 244 MUSTANG TRL STE 4
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7510
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Country | US
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Telephone | 757-317-0124
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Fax | 757-834-2454
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12057814-1202
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557819
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License Number State | VA
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