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General NPI Number Information
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NPI Number | 1851029789
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Entity Type | Individual
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Provider Name | SHELBY CALLAWAY AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 1102 S CONGRESS AVE
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City | AUSTIN
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State | TX
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Zip | 78704-1791
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Country | US
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Telephone | 512-462-5215
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MUELLER BLVD APT 3042
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City | AUSTIN
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State | TX
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Zip | 78723-3188
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Country | US
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Telephone | 512-966-4518
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 81305
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License Number State | TX
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