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General NPI Number Information
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NPI Number | 1124140884
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Entity Type | Individual
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Provider Name | WILLA SHAPIRO L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 16 E 41ST ST SUITE 5A
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City | NEW YORK
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State | NY
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Zip | 10017-6217
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Country | US
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Telephone | 212-545-7652
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 94TH ST APT 315
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City | NEW YORK
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State | NY
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Zip | 10128-3905
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Country | US
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Telephone | 212-369-1139
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R025372
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License Number State | NY
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