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General NPI Number Information
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NPI Number | 1467724385
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Entity Type | Individual
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Provider Name | SHANNON MARIE FLANAGAN LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 9 NEWBURG AVE STE 101
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City | CATONSVILLE
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State | MD
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Zip | 21228-5168
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Country | US
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Telephone | 215-253-9365
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Fax |
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Provider Business Mailing Address
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Address Line | 427 OVERBROOK RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-1824
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Country | US
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Telephone | 215-253-9365
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 21727
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License Number State | MD
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