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Individual

MR. SHANNON SCOTT AIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
DUMC M04 DAVISON BUILDING, DURHAM, NC 27710-0001
(919) 684-2474
(919) 681-8496
Mailing address
PO BOX 3885, DUMC, DURHAM, NC 27710-0001
(919) 684-2474
(919) 681-8496

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03081
NC
224P00000X
Prosthetist
Primary
CPO03081
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795429
NC
Enumeration date
02/11/2009
Last updated
01/06/2012
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