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NPI Code Detail

MEDICARE: SHANNON HADFIELD

MEDICARE: SHANNON HADFIELD
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1932493491
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON HADFIELD
Provider Business Mailing Address
First Line : 8665 W FLAMINGO RD STE 2000
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8626
Country : US
Telephone Number : 702-735-9755
Fax Number : 702-367-9089
Provider Business Practice Location Address
First Line : 8665 W FLAMINGO RD STE 2000
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8626
Country : US
Telephone Number : 702-735-9755
Fax Number : 702-367-9089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 06/01/2011

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1114211679 — NICOLE GREB
Practice Location Address:
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Directions to “ SHANNON HADFIELD ” Practice Location

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