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General NPI Number Information
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NPI Number | 1215012794
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Entity Type | Organization
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Legal Business Name | SHAPIRO EYE CARE, P.A.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1311 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-6305
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Country | US
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Telephone | 336-378-9993
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Fax | 336-274-5884
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Provider Business Mailing Address
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Address Line | 1311 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-6305
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Country | US
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Telephone | 336-378-9993
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Fax | 336-274-5884
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. MARK THOMAS SHAPIRO
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Credential | MD
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Telephone | 336-378-9993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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