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General NPI Number Information
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NPI Number | 1396259859
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Entity Type | Individual
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Provider Name | SHELLEY SHILING
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Gender | Female
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 202 CARRINGTON CT
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City | WARWICK
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State | PA
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Zip | 18974-6109
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Country | US
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Telephone | 267-699-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 14 SPRINGWOOD PL
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City | HOLLAND
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State | PA
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Zip | 18966-2640
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL013390
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License Number State | PA
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