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General NPI Number Information
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NPI Number | 1447387758
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Entity Type | Individual
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Provider Name | SHELLY K PAYNTER RN
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | HWY 34 AND 47
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City | FORT THOMPSON
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State | SD
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Zip | 57339-0200
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Country | US
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Telephone | 605-245-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 210 SCOBY AVENUE PO BOX 509
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City | HIGHMORE
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State | SD
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Zip | 57345-0509
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Country | US
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Telephone | 605-852-2138
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R025813
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | R025813
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | R025813
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License Number State | SD
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