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General NPI Number Information
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NPI Number | 1851916860
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Entity Type | Individual
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Provider Name | SHELBY ELIZABETH MATROS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 1301 WOLFE ST
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City | LITTLE ROCK
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State | AR
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Zip | 72202-5320
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Country | US
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Telephone | 501-364-1830
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Fax | 501-978-6492
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Provider Business Mailing Address
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Address Line | PO BOX 251418
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City | LITTLE ROCK
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State | AR
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Zip | 72225-1418
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Country | US
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Telephone | 501-364-1100
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Fax | 501-364-4082
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 201426
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License Number State | AR
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