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Individual
DR. SHANNON LEIGH SMITH
Active
Individual
DR. SHANNON LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011302
PREFERRED ONE
—
01
—
114370
UCARE
—
05
—
194317100
—
MN
01
—
41394
HEALTH PARTNERS
—
01
—
4500055
MEDICA
—
01
—
5G979EA
BCBS OF MN
MN
01
—
640003663
RAILROAD MEDICARE
—
01
—
75D75SM
BCBS OF MN
MN
Enumeration date
11/01/2006
Last updated
03/07/2013
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