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General NPI Number Information
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NPI Number | 1336859248
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Entity Type | Organization
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Legal Business Name | SHAWN JAMES, LCSW, P.C.
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2300 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14610-2564
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Country | US
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Telephone | 585-766-8107
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Fax | 585-397-1916
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Provider Business Mailing Address
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Address Line | 2300 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14610-2564
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Country | US
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Telephone | 585-766-8107
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Fax | 585-766-8107
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. SHAWN ENNUSON
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Credential | LCSW
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Telephone | 585-766-8107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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