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General NPI Number Information
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NPI Number | 1760457014
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Entity Type | Individual
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Provider Name | LAURA L SHELTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 5920 SARATOGA BLVD STE 110
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4104
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Country | US
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Telephone | 361-906-1277
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Fax | 361-906-0330
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Provider Business Mailing Address
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Address Line | PO BOX 61160
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-1160
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Country | US
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Telephone | 361-884-2904
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Fax | 361-371-8376
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | K7612
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K7612
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K7612
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License Number State | TX
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