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NPI Code Detail

MEDICARE: MRS. SHANNON SCEARCE

MEDICARE: MRS. SHANNON SCEARCE
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
1225700000XMassage TherapistR01354MD

General Provider Information

NPI Number : 1275058182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON SCEARCE
Provider Business Mailing Address
First Line : 117 REEAND LN
Second Line :
City : CHURCH HILL
State : MD
Zip : 21623-1449
Country : US
Telephone Number : 443-362-0290
Fax Number :
Provider Business Practice Location Address
First Line : 2015 MARTINS GRANT CT
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-1932
Country : US
Telephone Number : 443-362-0290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “ MRS. SHANNON SCEARCE ” Practice Location

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