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General NPI Number Information
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NPI Number | 1205785078
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Entity Type | Organization
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Legal Business Name | SHANNON CARE, LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2413 SHANNON PL SE
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City | WASHINGTON
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State | DC
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Zip | 20020
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Country | US
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Telephone | 484-264-5198
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Fax |
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Provider Business Mailing Address
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Address Line | 2227 BEL PRE RD STE 124
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City | SILVER SPRING
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State | MD
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Zip | 20906-2204
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Country | US
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Telephone | 484-264-5198
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Fax |
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Authorized Official
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Title or Position | MANAGING/MEMBER
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Name | AARON EYOB
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Credential |
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Telephone | 484-264-5198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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