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General NPI Number Information
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NPI Number | 1942725130
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Entity Type | Individual
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Provider Name | SHANNON DRISCOLL RN
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Gender | Female
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 3219 CLIFTON AVE STE 305
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City | CINCINNATI
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State | OH
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Zip | 45220-3047
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Country | US
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Telephone | 513-346-1270
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Fax | 513-489-1526
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Provider Business Mailing Address
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Address Line | 2930 MARKBREIT AVE APT 1
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City | CINCINNATI
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State | OH
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Zip | 45209-2080
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0032857
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 442583
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License Number State | OH
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