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General NPI Number Information
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NPI Number | 1245141209
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Entity Type | Organization
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Legal Business Name | SHAY INTEGRATION ASSOCIATES & HOLDINGS S I A H LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 1 TOWNE CENTER BLVD STE #2500
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City | FREDERICKSBURG
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State | VA
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Zip | 22407
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Country | US
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Telephone | 540-645-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 10908 COURTHOUSE RD STE 102
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8604
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Country | US
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Telephone | 540-645-2458
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DVON MAURER
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Credential |
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Telephone | 540-645-2458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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