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General NPI Number Information
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NPI Number | 1306686654
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Entity Type | Organization
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Legal Business Name | RICHARD ALAN SHAPIRO MD INC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 18344 CLARK ST STE 208
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City | TARZANA
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State | CA
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Zip | 91356-3580
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Country | US
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Telephone | 818-996-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 18344 CLARK ST STE 208
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City | TARZANA
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State | CA
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Zip | 91356-3580
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Country | US
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Telephone | 818-996-4242
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD SHAPIRO
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Credential | MD
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Telephone | 818-996-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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