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General NPI Number Information
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NPI Number | 1790676930
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Entity Type | Individual
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Provider Name | SHELLY MARIE CROME LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1017 BROADWAY STE 7
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City | MARYSVILLE
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State | KS
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Zip | 66508-1843
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Country | US
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Telephone | 785-713-1797
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Fax | 785-713-1797
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Provider Business Mailing Address
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Address Line | 538 ELK RD
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City | MARYSVILLE
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State | KS
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Zip | 66508-8735
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Country | US
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Telephone | 785-713-1797
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Fax | 785-306-3932
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 03794
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License Number State | KS
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