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General NPI Number Information
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NPI Number | 1205123973
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Entity Type | Individual
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Provider Name | SHANY DAVID M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 151 E 62ND ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10065-7620
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Country | US
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Telephone | 212-288-8832
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Fax | 646-924-0579
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Provider Business Mailing Address
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Address Line | 151 E 62ND ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10065-7620
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Country | US
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Telephone | 212-288-8832
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Fax | 646-924-0579
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 267562-1
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License Number State | NY
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