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General NPI Number Information
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NPI Number | 1437368578
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Entity Type | Individual
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Provider Name | SHELLEY M OLIVER MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 2121 E. HARMONY RD. STE 290
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City | FORT COLLINS
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State | CO
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Zip | 80528
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Country | US
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Telephone | 970-224-9890
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Fax | 970-224-9800
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Provider Business Mailing Address
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Address Line | 2121 E. HARMONY RD. STE 290
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City | FORT COLLINS
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State | CO
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Zip | 80528
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Country | US
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Telephone | 970-224-9890
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Fax | 970-224-9800
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301088465
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License Number State | MI
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