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General NPI Number Information
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NPI Number | 1114460979
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Entity Type | Organization
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Legal Business Name | ALISON SHAPIRO, INC
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 2020 W COLORADO AVE STE 206
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3882
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Country | US
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Telephone | 719-963-9523
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Fax |
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Provider Business Mailing Address
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Address Line | 3578 HARTSEL DR STE E SUITE 327
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-2104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALISON ANN SHAPIRO
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Credential | NURSE PRACTITIONER
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Telephone | 719-963-9523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0991040
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License Number State | CA
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