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General NPI Number Information
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NPI Number | 1619044724
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Entity Type | Individual
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Provider Name | JAMES WELTON SHEALY DDS
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 16 FELTON PL # B
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City | CARTERSVILLE
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State | GA
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Zip | 30120-2152
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Country | US
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Telephone | 770-382-3536
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Fax | 770-382-1915
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Provider Business Mailing Address
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Address Line | 16 FELTON PL # B
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City | CARTERSVILLE
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State | GA
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Zip | 30120-2152
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Country | US
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Telephone | 770-382-3536
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Fax | 770-382-1915
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12013092A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30.025291
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2901022957
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8498
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 10380
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 36121
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1001759
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN011369
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS042563
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 09480
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License Number State | IA
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