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General NPI Number Information
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NPI Number | 1275735920
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Entity Type | Individual
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Provider Name | JED SCOTT SHAPIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 2201 RIDGEWOOD RD SUITE 160
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City | WYOMISSING
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State | PA
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Zip | 19610-1189
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Country | US
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Telephone | 215-792-2250
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Fax | 800-595-4221
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Provider Business Mailing Address
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Address Line | PO BOX 873
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City | OAKS
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State | PA
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Zip | 19456-0873
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Country | US
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Telephone | 215-792-2250
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Fax | 800-595-4221
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME98500
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101241138
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD451607
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License Number State | PA
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