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Individual
MRS. SHANNON DANNENFELSER
Active
Individual
MRS. SHANNON DANNENFELSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11779850
CAQH
—
01
—
1245244938
CHAMPUST
—
01
—
3503195000
AMERIHEALTH
—
01
—
5070-0047
CAREFIRST
—
01
—
88760514
NCA
—
Enumeration date
07/28/2006
Last updated
04/28/2016
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