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General NPI Number Information
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NPI Number | 1962280966
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Entity Type | Individual
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Provider Name | SHELBY WEBB PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 2900 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30305-4915
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Country | US
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Telephone | 404-848-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 886 WALNUT RIVER TRL
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City | HOSCHTON
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State | GA
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Zip | 30548-1287
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Country | US
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Telephone | 678-557-5316
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH034540
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License Number State | GA
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