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General NPI Number Information
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NPI Number | 1497692974
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Entity Type | Individual
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Provider Name | SHELLEY ANN MOSIMAN RN BSN CCM DOLCM-CTR
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 14474 YARROW AVE
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City | NORA SPRINGS
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State | IA
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Zip | 50458-8798
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Country | US
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Telephone | 641-530-7645
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Fax | 877-874-2463
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Provider Business Mailing Address
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Address Line | 14474 YARROW AVE
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City | NORA SPRINGS
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State | IA
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Zip | 50458-8798
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Country | US
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Telephone | 641-530-7645
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Fax | 877-874-2463
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 2535960
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 102218
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License Number State | IA
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