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General NPI Number Information
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NPI Number | 1407749914
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Entity Type | Organization
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Legal Business Name | SHAPA, INC.
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 205 E ALMA AVE UNIT E1
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City | SAN JOSE
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State | CA
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Zip | 95112-5902
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Country | US
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Telephone | 408-207-5201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 997
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City | CUPERTINO
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State | CA
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Zip | 95015-0997
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Country | US
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Telephone | 408-207-5201
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | NATAN LAVI
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Credential |
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Telephone | 408-839-0269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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