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General NPI Number Information
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NPI Number | 1780528596
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Entity Type | Individual
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Provider Name | SHELBY SMITH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 10186 COMPTON DR
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City | HUNTLEY
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State | IL
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Zip | 60142-2343
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Country | US
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Telephone | 815-575-6957
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Fax |
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Provider Business Mailing Address
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Address Line | 10186 COMPTON DR
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City | HUNTLEY
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State | IL
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Zip | 60142-2343
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209035166
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License Number State | IL
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