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General NPI Number Information
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NPI Number | 1548110141
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Entity Type | Individual
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Provider Name | SHANNON LEIGH YEAGER LPN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 49 JOHNSON RD
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City | THE PLAINS
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State | OH
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Zip | 45780-1146
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Country | US
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Telephone | 740-764-4529
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Fax |
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Provider Business Mailing Address
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Address Line | 34095 NEW LIMA RD
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City | RUTLAND
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State | OH
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Zip | 45775-9023
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN-124669.MEDS-IV
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License Number State | OH
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