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General NPI Number Information
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NPI Number | 1598956989
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Entity Type | Individual
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Provider Name | BETH ANN SHELTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 502 ROSEPORT RD
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City | ELWOOD
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State | KS
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Zip | 66024-7803
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Country | US
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Telephone | 872-231-3162
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Fax | 702-977-1496
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Provider Business Mailing Address
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Address Line | PO BOX 74008272
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City | CHICAGO
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State | IL
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Zip | 60674-8272
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Country | US
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Telephone | 702-899-0595
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Fax | 702-977-1496
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2017039389
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 32647
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | R0781
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License Number State | KY
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