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General NPI Number Information
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NPI Number | 1568739472
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Entity Type | Individual
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Provider Name | SHELBY SCHOCKEMOEHL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2011
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 7551 W ALAMEDA AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-3208
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Country | US
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Telephone | 303-232-7549
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Fax |
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Provider Business Mailing Address
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Address Line | 7295 S DEXTER ST
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City | CENTENNIAL
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State | CO
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Zip | 80122-2413
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Country | US
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Telephone | 262-894-5600
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22643
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16105-40
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License Number State | WI
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