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General NPI Number Information
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NPI Number | 1639284581
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Entity Type | Individual
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Provider Name | SHELBY CHRISTINA MARGARET HOUSE P.A.-C.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1473 N GARDNER ST
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City | SCOTTSBURG
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State | IN
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Zip | 47170-7751
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Country | US
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Telephone | 502-584-2029
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Fax | 812-752-4654
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Provider Business Mailing Address
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Address Line | PO BOX 776351
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City | CHICAGO
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State | IL
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Zip | 60677-6351
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-08278
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA950
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License Number State | KY
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