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General NPI Number Information
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NPI Number | 1811888761
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Entity Type | Individual
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Provider Name | DARBY RAE SHELL PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 3162 M.L.K. JR BLVD SUITE 2
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City | FAYETTEVILLE
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State | AR
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Zip | 72704
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Country | US
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Telephone | 479-435-6636
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 S 61ST ST APT 310
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City | ROGERS
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State | AR
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Zip | 72758-4319
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Country | US
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Telephone | 405-612-4331
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5643
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License Number State | AR
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