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General NPI Number Information
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NPI Number | 1720731649
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Entity Type | Individual
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Provider Name | SHANNON JO ERDMANN MA, LPC, BA
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Gender | Female
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 4700 N PROSPECT RD STE A2D
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City | PEORIA HEIGHTS
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State | IL
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Zip | 61616-6473
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Country | US
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Telephone | 309-258-8851
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 W CHRISTINE AVE
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City | PEORIA
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State | IL
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Zip | 61614-5809
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Country | US
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Telephone | 309-258-3523
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178017184
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License Number State | IL
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