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General NPI Number Information
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NPI Number | 1689951659
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Entity Type | Individual
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Provider Name | SHANNON MURRAY CRNA, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 10 WAYMAN LN
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City | BAR HARBOR
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State | ME
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Zip | 04609-1625
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Country | US
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Telephone | 207-288-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 50 UNION ST
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City | ELLSWORTH
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State | ME
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Zip | 04605-1599
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA223034
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP221382
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN82403
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CNP221382
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP60403583
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License Number State | WA
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