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NPI Code Detail

MEDICARE: SHANNON HARRINGTON

MEDICARE:   SHANNON  HARRINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion

General Provider Information

NPI Number : 1205675832
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON HARRINGTON
Provider Business Mailing Address
First Line : 1106 CLEVELAND AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2510
Country : US
Telephone Number : 906-361-5123
Fax Number :
Provider Business Practice Location Address
First Line : 1106 CLEVELAND AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2510
Country : US
Telephone Number : 906-361-5123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2024
Last Update Date : 05/22/2024

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Directions to “ SHANNON HARRINGTON ” Practice Location

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