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General NPI Number Information
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NPI Number | 1518310655
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Entity Type | Organization
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Legal Business Name | JAMES S SHELBY D.D.S
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 3233 W INDIAN TRAIL RD
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City | SPOKANE
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State | WA
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Zip | 99208-4761
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Country | US
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Telephone | 509-326-5454
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Fax | 509-326-0314
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Provider Business Mailing Address
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Address Line | 3233 W INDIAN TRAIL RD
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City | SPOKANE
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State | WA
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Zip | 99208-4761
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Country | US
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Telephone | 509-326-5454
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Fax | 509-326-0314
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SARO J CROW
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Credential |
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Telephone | 509-326-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7654
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License Number State | WA
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