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General NPI Number Information
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NPI Number | 1972380210
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Entity Type | Individual
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Provider Name | SHELBY REID ANDERSON APRN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 1210 S OLD DIXIE HWY
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City | JUPITER
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State | FL
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Zip | 33458-7205
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Country | US
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Telephone | 561-263-2234
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Fax |
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Provider Business Mailing Address
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Address Line | 6189 FOSTER ST
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City | JUPITER
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State | FL
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Zip | 33458-6619
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Country | US
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Telephone | 561-281-2837
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9463752
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11043090
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License Number State | FL
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