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General NPI Number Information
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NPI Number | 1588146039
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Entity Type | Individual
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Provider Name | SHELLEY PADGETT CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 5 SUNSET DR
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City | ANNISTON
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State | AL
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Zip | 36207-7607
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Country | US
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Telephone | 332-296-4649
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Fax | 332-296-7418
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Provider Business Mailing Address
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Address Line | 5 SUNSET DR
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City | ANNISTON
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State | AL
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Zip | 36207-7607
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Country | US
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Telephone | 332-296-4649
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Fax | 332-296-7418
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F402964-01
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License Number State | NY
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