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General NPI Number Information
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NPI Number | 1093756462
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Entity Type | Organization
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Legal Business Name | DR.STANFORD A. SHOR ASSOCIATES
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 61 S MORTON AVE SUITE 6
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City | MORTON
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State | PA
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Zip | 19070-1740
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Country | US
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Telephone | 610-328-4460
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Fax | 610-328-6178
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Provider Business Mailing Address
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Address Line | 61 S MORTON AVE SUITE 6
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City | MORTON
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State | PA
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Zip | 19070-1740
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Country | US
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Telephone | 610-328-4460
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Fax | 610-328-6178
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STANFORD A SHOR
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Credential | D.O.
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Telephone | 610-328-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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