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General NPI Number Information
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NPI Number | 1609748813
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Entity Type | Individual
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Provider Name | SHANNON ABONO
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 929 2ND ST
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City | BRENTWOOD
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State | CA
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Zip | 94513-1137
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Country | US
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Telephone | 925-634-2589
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Fax | 925-516-6968
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Provider Business Mailing Address
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Address Line | 20 OAK ST
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City | BRENTWOOD
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State | CA
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Zip | 94513-1379
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Country | US
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Telephone | 925-634-2589
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Fax | 925-516-6968
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 250132576
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License Number State | CA
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