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General NPI Number Information
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NPI Number | 1407948656
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Entity Type | Individual
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Provider Name | SHANNON H. MCCARTHY DDS
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 5853 TRANSIT RD
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City | EAST AMHERST
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State | NY
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Zip | 14051-1885
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Country | US
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Telephone | 716-689-4111
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Fax | 716-929-0443
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Provider Business Mailing Address
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Address Line | 5853 TRANSIT RD
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City | EAST AMHERST
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State | NY
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Zip | 14051-1885
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Country | US
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Telephone | 716-689-4111
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Fax | 716-929-0443
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 047165
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License Number State | NY
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