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General NPI Number Information
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NPI Number | 1699691170
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Entity Type | Individual
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Provider Name | SHELBY MARIE MILLER MSN, RN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 602 INDIANA AVE
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City | LUBBOCK
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State | TX
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Zip | 79415-3364
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Country | US
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Telephone | 806-775-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 803 N GROVER AVE
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City | LUBBOCK
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State | TX
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Zip | 79416-2101
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 1052651
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License Number State | TX
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