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General NPI Number Information
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NPI Number | 1922137454
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Entity Type | Organization
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Legal Business Name | SHELBY ASSOCIATES IN PSYCHIATRY, P.A.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 416 N LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-4425
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Country | US
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Telephone | 704-482-7395
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Fax | 704-482-7396
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Provider Business Mailing Address
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Address Line | 416 N LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-4425
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Country | US
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Telephone | 704-482-7395
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Fax | 704-482-7396
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM V. VAN FLEET
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Credential | M.D.
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Telephone | 704-482-7395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 40033
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License Number State | NC
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