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General NPI Number Information
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NPI Number | 1407748890
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Entity Type | Organization
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Legal Business Name | SHATTER HEALTH, LLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 4400 MACARTHUR BLVD NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20007-2521
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Country | US
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Telephone | 202-361-2453
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Fax | 888-830-6376
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Provider Business Mailing Address
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Address Line | 4400 MACARTHUR BLVD NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20007-2521
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Country | US
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Telephone | 202-361-2453
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Fax | 888-830-6376
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL AMIT KAPOOR
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Credential |
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Telephone | 202-361-2453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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