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General NPI Number Information
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NPI Number | 1437394111
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Entity Type | Individual
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Provider Name | JESSICA ROSE SHAPIRO M.AC., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 1190 W NORTHERN PKWY SUITE 110
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City | BALTIMORE
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State | MD
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Zip | 21210-1431
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Country | US
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Telephone | 610-357-2261
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ROYLENCROFT LN
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City | ROSE VALLEY
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State | PA
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Zip | 19063-4237
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Country | US
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Telephone | 610-357-2261
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01698
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License Number State | MD
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