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General NPI Number Information
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NPI Number | 1659558179
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Entity Type | Individual
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Provider Name | SHANNON POLSON LCSW, PIP, RN, CNL
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Gender | Female
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 651 BEACON PKWY W STE 202B
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3141
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Country | US
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Telephone | 205-588-5722
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Fax | 205-942-6770
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Provider Business Mailing Address
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Address Line | 636 FOUNDERS PARK DR W
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City | HOOVER
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State | AL
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Zip | 35226-4143
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Country | US
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Telephone | 205-588-5722
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Fax | 205-942-6770
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2181C
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #7
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #8
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #9
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 1-126757
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License Number State | AL
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Taxonomy #10
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 1-126757
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License Number State | AL
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