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General NPI Number Information
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NPI Number | 1700812922
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Entity Type | Organization
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Legal Business Name | SHELBY HOME & PUBLIC HEALTH, INC.
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 142 N GAMBLE ST SUITE B
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City | SHELBY
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State | OH
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Zip | 44875-2114
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Country | US
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Telephone | 419-342-6366
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Fax | 419-342-4108
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Provider Business Mailing Address
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Address Line | 142 N GAMBLE ST SUITE B
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City | SHELBY
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State | OH
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Zip | 44875-2114
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Country | US
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Telephone | 419-342-6366
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Fax | 419-342-4108
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DENISE R. NAUGLE
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Credential | RN, BSN
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Telephone | 419-342-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 86248
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License Number State | OH
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