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General NPI Number Information
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NPI Number | 1144304031
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Entity Type | Individual
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Provider Name | SHAWNA M. MARSHALL PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 850 HOSPITAL RD SUITE 2300
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City | INDIANA
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State | PA
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Zip | 15701-3662
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Country | US
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Telephone | 724-357-1855
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Fax |
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Provider Business Mailing Address
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Address Line | 710 4TH ST
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City | NORTH VERSAILLES
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State | PA
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Zip | 15137-1208
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA-052162
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License Number State | PA
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