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General NPI Number Information
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NPI Number | 1689597551
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Entity Type | Individual
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Provider Name | SHANNON LABONTE LMT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 108 BURTON CT
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City | GRAYLING
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State | MI
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Zip | 49738-1700
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Country | US
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Telephone | 989-387-8351
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Fax |
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Provider Business Mailing Address
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Address Line | 313 SILVERHILL DR
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City | HOUGHTON LAKE
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State | MI
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Zip | 48629-9155
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Country | US
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Telephone | 989-387-8351
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 7501008943
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License Number State | MI
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