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General NPI Number Information
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NPI Number | 1861493033
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Entity Type | Individual
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Provider Name | SHELLEY A SIGUR DDS
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 220 W BRAMBLETON AVE STE 111
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City | NORFOLK
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State | VA
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Zip | 23510-1571
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Country | US
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Telephone | 615-400-0018
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Fax | 912-732-1013
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Provider Business Mailing Address
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Address Line | 220 W BRAMBLETON AVE STE 111
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City | NORFOLK
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State | VA
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Zip | 23510-1571
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Country | US
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Telephone | 615-400-0018
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN012297
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS6964
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6712-C
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401418762
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License Number State | VA
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