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General NPI Number Information
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NPI Number | 1750259156
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Entity Type | Organization
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Legal Business Name | SHANNON S. LIVINGSTON, M.D., P.A.
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 138 STATE HIGHWAY 46 W
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City | BOERNE
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State | TX
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Zip | 78006-8114
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Country | US
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Telephone | 830-630-9020
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Fax | 830-626-9037
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Provider Business Mailing Address
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Address Line | 138 STATE HIGHWAY 46 W
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City | BOERNE
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State | TX
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Zip | 78006-8114
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Country | US
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Telephone | 830-630-9020
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Fax | 830-626-9037
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Authorized Official
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Title or Position | PHYSICIAN, OWNER
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Name | SHANNON SARTOR LIVINGSTON
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Credential | MD
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Telephone | 210-818-2463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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