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General NPI Number Information
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NPI Number | 1811411036
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Entity Type | Individual
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Provider Name | SHANNON DONOVAN KAUFMAN
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Gender | Female
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Dates
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Enumeration Date | 07/30/2017
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1145 BOWER HILL RD STE 105
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City | PITTSBURGH
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State | PA
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Zip | 15243-1346
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Country | US
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Telephone | 412-572-6194
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BOWER HILL RD ATTN ST. CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-924-2548
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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 |
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License Number State |
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