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General NPI Number Information
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NPI Number | 1992623094
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Entity Type | Individual
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Provider Name | SHELBY BLAIR
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Gender |
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 187 MCCARTY LN
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City | DUNMORE
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State | WV
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Zip | 24934
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Country | US
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Telephone | 760-285-2705
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3
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City | DUNMORE
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State | WV
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Zip | 24934-0003
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Country | US
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Telephone |
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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