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General NPI Number Information
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NPI Number | 1578772851
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Entity Type | Individual
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Provider Name | SHELBY L KAHL RDH
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 1194 W ASH ST STE E
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City | WINDSOR
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State | CO
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Zip | 80550-4608
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Country | US
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Telephone | 970-686-6899
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Fax | 970-686-0889
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Provider Business Mailing Address
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Address Line | 1194 W ASH ST STE E
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City | WINDSOR
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State | CO
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Zip | 80550-4608
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Country | US
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Telephone | 970-686-6899
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Fax | 970-686-0889
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 1848
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | CO
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