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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X |
| NPI Number | 1275835829 |
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| LBN Legal business name | SHANNON M. BURGESS, OD | ||||||||||||||||
| Authorized official | SHANNON BURGESS - (OPTOMETRIST) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 12/01/2010 | ||||||||||||||||
| Last updated | 08/25/2011 - About 15 years ago | ||||||||||||||||
| Identifiers |
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SHANNON M. BURGESS, OD
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SHANNON M. BURGESS, OD