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General NPI Number Information
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NPI Number | 1871219709
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Entity Type | Individual
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Provider Name | SHANNON POHAR CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 1985 CROMPOND RD
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4146
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Country | US
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Telephone | 900-091-4737
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Fax |
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Provider Business Mailing Address
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Address Line | 14 SATINWOOD LN
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-2300
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Country | US
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Telephone | 914-438-8585
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 14908
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 145120
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NJ15606600
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 232734
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 742283
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License Number State | NY
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