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General NPI Number Information
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NPI Number | 1770840233
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Entity Type | Individual
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Provider Name | SALLY ANN SHEVLIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 550 MUNSON AVE
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-3580
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Country | US
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Telephone | 231-935-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 725 GLENWOOD DR STE 488
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1173
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Country | US
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Telephone | 423-697-0621
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Fax | 423-622-8716
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2219
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1722
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601012576
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License Number State | MI
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