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Individual
SHANNON MARIE BARILLARE
Active
Individual
SHANNON MARIE BARILLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.089101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2217390
—
OH
01
—
H055260
MEDICARE PTAN
OH
Enumeration date
09/24/2007
Last updated
10/11/2016
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