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General NPI Number Information
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NPI Number | 1063334159
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Entity Type | Individual
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Provider Name | SHANNON LEA MACCABE
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 400 S COLORADO BLVD STE 600
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City | DENVER
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State | CO
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Zip | 80246-1239
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Country | US
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Telephone | 720-724-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 669 N WASHINGTON ST APT 803
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City | DENVER
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State | CO
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Zip | 80203-3837
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Country | US
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Telephone | 720-217-2462
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1002217-NP
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License Number State | CO
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