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General NPI Number Information
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NPI Number | 1740125624
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Entity Type | Individual
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Provider Name | SHELLY LYNN ROY WHNP - BC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 10840 TEXAS HEALTH TRL STE 280
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City | FORT WORTH
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State | TX
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Zip | 76244-6849
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Country | US
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Telephone | 817-753-6906
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Fax | 817-753-6957
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Provider Business Mailing Address
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Address Line | 301 STONER WAY UNIT 3
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City | KEENE
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State | TX
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Zip | 76059-1379
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1230327
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License Number State | TX
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