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General NPI Number Information
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NPI Number | 1477843522
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Entity Type | Individual
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Provider Name | SARA D SHELLHAMMER PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 5700 CORPORATE DR STE 700
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City | PITTSBURGH
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State | PA
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Zip | 15237-5829
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Country | US
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Telephone | 412-630-2670
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Fax | 412-630-2613
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Provider Business Mailing Address
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Address Line | 8150 PERRY HWY STE 201
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City | PITTSBURGH
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State | PA
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Zip | 15237-5200
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Country | US
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Telephone | 412-369-9550
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Fax | 412-369-9566
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA054751
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License Number State | PA
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