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General NPI Number Information
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NPI Number | 1699703462
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Entity Type | Individual
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Provider Name | MELISSA BETH SHELBY ACNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 661 E ALTAMONTE DR STE 231
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5102
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Country | US
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Telephone | 407-303-5214
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Fax | 407-303-5215
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Provider Business Mailing Address
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Address Line | 2940 E. BANNER GATEWAY DRIVE SUITE #450
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City | GILBERT
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State | AZ
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Zip | 85234
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Country | US
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Telephone | 480-256-6444
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Fax | 480-256-4734
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP4131
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R107934
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11032092
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License Number State | FL
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