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General NPI Number Information
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NPI Number | 1851905137
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Entity Type | Individual
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Provider Name | SHELBY REEVES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 900 STARK RD
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City | STARKVILLE
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State | MS
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Zip | 39759-3613
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Country | US
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Telephone | 662-268-6278
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Fax | 877-355-6934
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Provider Business Mailing Address
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Address Line | 1181 SHERMAN DR
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City | STURGIS
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State | MS
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Zip | 39769-9155
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Country | US
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Telephone | 601-941-6251
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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 | 904128
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License Number State | MS
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