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General NPI Number Information
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NPI Number | 1730263500
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Entity Type | Individual
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Provider Name | SHELLY R SMITH APRN, FNP-C,CRNFA
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1327 OKLAHOMA AVE
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City | WOODWARD
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State | OK
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Zip | 73801-4454
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Country | US
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Telephone | 580-254-2377
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Fax | 580-254-2388
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Provider Business Mailing Address
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Address Line | PO BOX 95469
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City | GRAPEVINE
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State | TX
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Zip | 76099-9700
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Country | US
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Telephone | 405-445-1210
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Fax | 405-445-3310
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 607045
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 225130
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP136443
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License Number State | TX
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