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General NPI Number Information
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NPI Number | 1710540901
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Entity Type | Individual
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Provider Name | SHANNON DIGNAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 915 OLD FERN HILL RD STE 500
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City | WEST CHESTER
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State | PA
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Zip | 19380-3420
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Country | US
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Telephone | 610-235-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MILLER WAY
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City | ASTON
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State | PA
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Zip | 19014-1320
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Country | US
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Telephone | 267-221-2183
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00517900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1160596
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA060516
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA060516
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License Number State | PA
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