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NPI 1609964881

NPI 1609964881 : SHAWN MCCANN MD, LLC : MARKSVILLE, LA

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General NPI Number Information
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    NPI Number           |    1609964881
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHAWN MCCANN MD, LLC 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    424 N WASHINGTON ST STE C 
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    City                 |    MARKSVILLE
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    State                |    LA
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    Zip                  |    71351-2462
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    Country              |    US
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    Telephone            |    318-240-9503
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    Fax                  |    360-323-2345
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Provider Business Mailing Address
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    Address Line         |    424 N WASHINGTON ST STE C 
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    City                 |    MARKSVILLE
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    State                |    LA
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    Zip                  |    71351-2462
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    Country              |    US
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    Telephone            |    318-240-9503
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    Fax                  |    360-323-2345
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     SHAWN ELLINGTON MCCANN 
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    Credential           |    
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    Telephone            |    337-806-9017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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