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General NPI Number Information
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NPI Number | 1396681276
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Entity Type | Individual
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Provider Name | SHAWNA BANNISTER
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 120 FRANKLIN ST
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-1160
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Country | US
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Telephone | 724-991-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 106 WOOD ST
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City | BUTLER
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State | PA
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Zip | 16001-4160
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Country | US
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Telephone | 724-355-5520
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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