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General NPI Number Information
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NPI Number | 1689143950
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Entity Type | Individual
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Provider Name | SHANNON J. PEYATT-MORROW LSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2018
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Last Update Date | 11/16/2018
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Provider Practice Location Address
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Address Line | 554 N LEAVITT RD
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City | AMHERST
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State | OH
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Zip | 44001-1131
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Country | US
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Telephone | 440-934-3882
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Fax |
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Provider Business Mailing Address
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Address Line | 32649 SPINNAKER DR
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City | AVON LAKE
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State | OH
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Zip | 44012-2109
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Country | US
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Telephone |
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | S1701072
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License Number State | OH
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