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General NPI Number Information
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NPI Number | 1194798413
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Entity Type | Individual
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Provider Name | AMY K SHANNON DO
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2009 MACKENZIE WAY STE 100
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-5338
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Country | US
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Telephone | 724-698-7334
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Fax |
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Provider Business Mailing Address
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Address Line | 230 FRAZIER LAKE DR
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City | NEW CASTLE
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State | PA
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Zip | 16105-1566
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Country | US
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Telephone | 724-977-2703
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS012796
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS012796
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License Number State | PA
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