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NPI 1588232227

NPI 1588232227 : SHANNON M FRANKLIN CDCA : GARFIELD HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1588232227
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    Entity Type          |    Individual 
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    Provider Name        |    SHANNON M FRANKLIN CDCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/17/2021
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    5595 TRANSPORTATION BLVD STE 240 
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    City                 |    GARFIELD HEIGHTS
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    State                |    OH
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    Zip                  |    44125-5359
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    Country              |    US
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    Telephone            |    216-633-1334
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    Fax                  |    216-465-9360
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Provider Business Mailing Address
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    Address Line         |    PO BOX 660 
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    City                 |    MENTOR
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    State                |    OH
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    Zip                  |    44061-0660
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    Country              |    US
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    Telephone            |    440-854-0214
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    Fax                  |    440-516-3783
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    CDCA.185236
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    License Number State |    OH
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