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General NPI Number Information
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NPI Number | 1487031456
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Entity Type | Individual
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Provider Name | ELIZABETH ANN SHELLEY MD
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Gender | Female
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 5529 ROSECLIFF DR
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City | LORAIN
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State | OH
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Zip | 44053-1819
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Country | US
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Telephone | 440-600-1002
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Fax | 440-209-5747
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Provider Business Mailing Address
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Address Line | 5529 ROSECLIFF DR
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City | LORAIN
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State | OH
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Zip | 44053-1819
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Country | US
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Telephone | 440-600-1002
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Fax | 440-209-5747
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.134898
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License Number State | OH
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