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General NPI Number Information
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NPI Number | 1457694390
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Entity Type | Individual
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Provider Name | SHELBY APODACA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 910 W 5TH AVE STE 300
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City | SPOKANE
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State | WA
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Zip | 99204-2972
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Country | US
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Telephone | 509-838-2531
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Fax | 509-755-6580
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Provider Business Mailing Address
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Address Line | 2003 KOOTENAI HEALTH WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 208-625-3961
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Fax | 208-625-6790
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60721548
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M-15201
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | M15201
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License Number State | ID
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