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General NPI Number Information
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NPI Number | 1588580526
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Entity Type | Organization
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Legal Business Name | SHANNON BAEHR LCSW, PLLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 3829 FOREST PKWY STE 100
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-3764
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Country | US
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Telephone | 716-869-1024
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Fax | 716-419-5129
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Provider Business Mailing Address
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Address Line | PO BOX 328
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City | LOCKPORT
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State | NY
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Zip | 14095-0328
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Country | US
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Telephone | 716-869-1024
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Fax | 716-419-5129
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Authorized Official
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Title or Position | PROVIDER/CEO
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Name | MRS. SHANNON BAEHR
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Credential | LCSW
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Telephone | 716-869-1024
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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 |
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License Number State |
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