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General NPI Number Information
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NPI Number | 1700458122
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Entity Type | Individual
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Provider Name | THELMA COX-SHELTON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 114 N HICKORY ST STE C
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City | ABERDEEN
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State | MS
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Zip | 39730-2648
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Country | US
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Telephone | 662-813-5051
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Fax | 833-428-4727
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Provider Business Mailing Address
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Address Line | 408 PULLEN DR
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City | ABERDEEN
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State | MS
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Zip | 39730-2238
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Country | US
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Telephone | 662-304-6312
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904627
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License Number State | MS
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