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General NPI Number Information
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NPI Number | 1720530561
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Entity Type | Individual
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Provider Name | SHANNON ARTHUR THORNTON M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 9555 LEBANON ROAD SUITE 902
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City | FRISCO
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State | TX
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Zip | 75035-8031
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Country | US
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Telephone | 214-532-7158
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Fax |
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Provider Business Mailing Address
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Address Line | 6708 CARMEL VALLEY DR
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City | FRISCO
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State | TX
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Zip | 75035-8031
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Country | US
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Telephone | 214-532-7158
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 72822
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License Number State | TX
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