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General NPI Number Information
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NPI Number | 1376544643
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Entity Type | Organization
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Legal Business Name | SHAPIRO EYE CARE PA
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/11/2008
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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 | ADMINISTRATOR
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Name | MRS. CHRISTY T DENNY
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Credential |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 20509
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License Number State | NC
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