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General NPI Number Information
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NPI Number | 1578356713
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Entity Type | Individual
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Provider Name | SHELBY ANNE CANELLA DO
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 100 NEAL AVE
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City | MARION CENTER
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State | PA
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Zip | 15759
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Country | US
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Telephone | 724-397-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 100 NEAL AVE
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City | MARION CENTER
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State | PA
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Zip | 15759
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Country | US
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Telephone | 585-230-4107
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0T024551
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License Number State | PA
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