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General NPI Number Information
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NPI Number | 1336344811
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Entity Type | Individual
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Provider Name | SHANNON COUTURE O'FLINN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 482 N ROSEMEAD BLVD STE 207
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City | PASADENA
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State | CA
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Zip | 91107-3053
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Country | US
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Telephone | 720-206-6462
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S LAKE AVE # 200
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City | PASADENA
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State | CA
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Zip | 91101-3515
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Country | US
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Telephone | 626-804-1233
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY24779
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License Number State | CA
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