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NPI 1194761817

NPI 1194761817 : SHAWN ELLINGTON MCCANN M.D. : MARKSVILLE, LA

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General NPI Number Information
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    NPI Number           |    1194761817
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    Entity Type          |    Individual 
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    Provider Name        |    SHAWN ELLINGTON MCCANN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/21/2006
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    424 N WASHINGTON ST 
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    City                 |    MARKSVILLE
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    State                |    LA
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    Zip                  |    71351-2461
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    Country              |    US
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    Telephone            |    318-253-8136
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    Fax                  |    360-323-2345
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Provider Business Mailing Address
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    Address Line         |    424 N WASHINGTON ST 
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    City                 |    MARKSVILLE
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    State                |    LA
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    Zip                  |    71351-2461
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    Country              |    US
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    Telephone            |    318-253-8136
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    Fax                  |    360-323-2345
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    C50813
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    022900
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    License Number State |    LA
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2005-00541
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD161972
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    License Number State |    OR
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