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General NPI Number Information
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NPI Number | 1013395532
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Entity Type | Individual
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Provider Name | LIBBY ANN SHAPIRO LCAT, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 19 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 917-622-6371
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Fax |
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Provider Business Mailing Address
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Address Line | 177 CARLTON AVENUE #2
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City | BROOKLYN
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State | NY
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Zip | 11205
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Country | US
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Telephone | 917-622-6371
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | LCAT 1862
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | MT-BC 10778
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License Number State | PA
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