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General NPI Number Information
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NPI Number | 1679415210
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Entity Type | Individual
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Provider Name | SHELLY SWALLEY
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 145 KING OF PRUSSIA RD STE 109
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City | RADNOR
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State | PA
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Zip | 19087-4557
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Country | US
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Telephone | 610-902-1700
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Fax | 610-902-1704
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Provider Business Mailing Address
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Address Line | 186 MIDFIELD RD
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City | ARDMORE
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State | PA
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Zip | 19003-3213
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP443229
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License Number State | PA
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