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General NPI Number Information
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NPI Number | 1427128636
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Entity Type | Organization
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Legal Business Name | JAMES R SHELL
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 408 PUBLIC SQ
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City | BERRYVILLE
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State | AR
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Zip | 72616-3958
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Country | US
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Telephone | 870-423-2737
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Fax | 870-423-7253
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Provider Business Mailing Address
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Address Line | 408 PUBLIC SQ
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City | BERRYVILLE
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State | AR
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Zip | 72616-3958
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Country | US
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Telephone | 870-423-2737
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Fax | 870-423-7253
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Authorized Official
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Title or Position | PHARMACIST
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Name | JAMES R. SHELL
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Credential | RPH
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Telephone | 870-423-2737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | AR01783
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR01783
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License Number State | AR
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