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General NPI Number Information
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NPI Number | 1467538694
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Entity Type | Individual
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Provider Name | GEORGE EUGENE SHAPIRO PHD PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 211 W 56 ST APT 5K
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City | NEW YORK CITY
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State | NY
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Zip | 10019-4312
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Country | US
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Telephone | 212-307-0582
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Fax | 516-466-2993
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Provider Business Mailing Address
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Address Line | ONE IPSWICH AVE 328
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City | GREAT NECK
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State | NY
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Zip | 11021-3263
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Country | US
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Telephone | 516-487-1328
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Fax | 516-466-2993
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0033271
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License Number State | NY
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