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General NPI Number Information
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NPI Number | 1134427990
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Entity Type | Individual
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Provider Name | SHANNON MARIE HAIGLER MSBS, LPCI
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Gender | Female
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 207 COMMERCE AVE
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City | CHESTERFIELD
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State | SC
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Zip | 29709
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Country | US
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Telephone | 843-623-2229
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Fax | 803-773-5246
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Provider Business Mailing Address
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Address Line | P.O. BOX 918
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City | BENNETTSVILLE
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State | SC
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Zip | 29512
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Country | US
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Telephone | 843-544-4098
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Fax | 803-773-6615
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6062LPCE
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | SC6062
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License Number State | SC
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