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General NPI Number Information
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NPI Number | 1780603878
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Entity Type | Individual
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Provider Name | SHANNON WRIGHT FEGAN PA
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2055 SCOTLAND AVE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1451
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Country | US
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Telephone | 717-217-4963
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Fax | 717-217-2901
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Provider Business Mailing Address
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Address Line | 109 RAYLOC DR
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City | HANCOCK
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State | MD
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Zip | 21750-1518
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Country | US
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Telephone | 301-678-5187
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Fax | 301-678-5797
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA050908
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License Number State | PA
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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 | MA050908
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License Number State | PA
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