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NPI Code Detail

MEDICARE: SHAWNNA BURLIN-SHORE

MEDICARE: SHAWNNA BURLIN-SHORE
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
1101YS0200XSchool Counselor220124890CA

General Provider Information

NPI Number : 1770606337
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNNA BURLIN-SHORE
Provider Business Mailing Address
First Line : 5050 BARRANCA PKWY
Second Line :
City : IRVINE
State : CA
Zip : 92604-4698
Country : US
Telephone Number : 949-936-5841
Fax Number :
Provider Business Practice Location Address
First Line : 5050 BARRANCA PKWY
Second Line :
City : IRVINE
State : CA
Zip : 92604-4698
Country : US
Telephone Number : 949-936-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 06/03/2026

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Directions to “ SHAWNNA BURLIN-SHORE ” Practice Location

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