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General NPI Number Information
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NPI Number | 1932696804
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Entity Type | Organization
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Legal Business Name | SHELBY KNAPPLE COUNSELING
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 16135 HIGHWAY 71 S
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City | GREENWOOD
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State | AR
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Zip | 72936-7218
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Country | US
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Telephone | 479-996-5433
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Fax | 479-996-0438
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Provider Business Mailing Address
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Address Line | 16135 HIGHWAY 71 S
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City | GREENWOOD
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State | AR
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Zip | 72936-7218
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Country | US
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Telephone | 479-996-5433
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Fax | 479-996-0438
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Authorized Official
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Title or Position | THERAPIST
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Name | SHELBY KNAPPLE
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Credential | LAC
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Telephone | 479-208-2133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A1711318
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License Number State | AR
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