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General NPI Number Information
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NPI Number | 1306212386
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Entity Type | Individual
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Provider Name | SHANNON ELIZABETH CONROY PT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 161 JENNIFER RD STE A
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3367
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Country | US
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Telephone | 443-481-1140
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Fax | 443-775-5620
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Provider Business Mailing Address
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Address Line | 2000 MEDICAL PKWY STE 409
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3746
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Country | US
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Telephone | 433-481-1000
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | GA
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