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Individual
MOIRA A SHANAHAN
Active
Individual
MOIRA A SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
014577
ME
207V00000X
Obstetrics & Gynecology Physician
Primary
15992
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021892
—
VT
05
—
3085897
—
NH
Enumeration date
01/18/2006
Last updated
04/02/2024
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