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General NPI Number Information
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NPI Number | 1417042185
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Entity Type | Organization
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Legal Business Name | SHAPIRO & ROLLMAN DDS, LLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | B 5 CORNWALL DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-390-1911
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Fax | 732-390-9602
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Provider Business Mailing Address
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Address Line | B5 CORNWALL DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3352
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Country | US
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Telephone | 732-390-1911
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Fax | 732-390-9602
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Authorized Official
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Title or Position | PARTNER/DENTIST
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Name | DR. JOSEPH R SHAPIRO
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Credential | DDS
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Telephone | 732-390-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15879
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14395
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License Number State | NJ
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