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General NPI Number Information
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NPI Number | 1255520268
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Entity Type | Individual
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Provider Name | SHANNON M HALPIN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 32 DOS ROBLES CT
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City | WALNUT CREEK
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State | CA
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Zip | 94597-6827
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Country | US
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Telephone | 508-409-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 32 DOS ROBLES CT
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City | WALNUT CREEK
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State | CA
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Zip | 94597-6827
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Country | US
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Telephone | 508-409-8400
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60119216
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT291861
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License Number State | CA
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