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General NPI Number Information
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NPI Number | 1871515080
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Entity Type | Individual
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Provider Name | SHANDOLYN D STORY PA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 6969 ARAPAHO RD
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City | DALLAS
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State | TX
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Zip | 75248-4044
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Country | US
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Telephone | 469-495-9132
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S COIT RD SUITE 317
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City | RICHARDSON
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State | TX
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Zip | 75080-5743
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Country | US
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Telephone | 972-437-9090
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Fax | 972-234-6474
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA04546
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA04546
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License Number State | TX
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