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General NPI Number Information
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NPI Number | 1548693930
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Entity Type | Organization
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Legal Business Name | DR. SHANNON CURRY, PSY.D., INC.
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 600 NEWPORT CENTER DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-6412
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Country | US
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Telephone | 808-354-0544
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 46B
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City | NEWPORT BEACH
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State | CA
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Zip | 92662-0646
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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 | PRESIDENT
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Name | DR. SHANNON CURRY
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Credential | PSYD
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Telephone | 808-354-0544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-1404
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License Number State | HI
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