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General NPI Number Information
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NPI Number | 1780860387
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Entity Type | Organization
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Legal Business Name | SHELLEY C. FERRILL, M.D.PA
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 23144 WESTHEIMER PKWY
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City | KATY
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State | TX
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Zip | 77494-3603
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Country | US
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Telephone | 281-392-5005
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Fax | 281-395-5052
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Provider Business Mailing Address
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Address Line | 23144 WESTHEIMER PKWY
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City | KATY
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State | TX
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Zip | 77494-3603
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Country | US
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Telephone | 281-392-5005
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Fax | 281-395-5052
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CAROLE D MCROBERTS
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Credential |
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Telephone | 281-392-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L2247
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License Number State | TX
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