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General NPI Number Information
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NPI Number | 1164615878
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Entity Type | Individual
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Provider Name | NAUM SHAPARIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2007
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Last Update Date | 03/01/2013
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Provider Practice Location Address
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Address Line | 3400 BAINBRIDGE AVE # LL400
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City | BRONX
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State | NY
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Zip | 10467-2404
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Country | US
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Telephone | 718-920-7246
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Fax | 718-652-4018
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Provider Business Mailing Address
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Address Line | 3400 BAINBRIDGE AVE # LL400
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City | BRONX
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State | NY
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Zip | 10467-2404
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Country | US
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Telephone | 718-920-7246
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Fax | 718-652-4018
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 233475
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA08353200
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License Number State | NJ
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