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General NPI Number Information
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NPI Number | 1477870434
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Entity Type | Organization
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Legal Business Name | CAROLE LYNNE SHEAR, M.D., P.C.
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 114 E 72ND ST SUITE B
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City | NEW YORK
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State | NY
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Zip | 10021-4245
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Country | US
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Telephone | 212-472-2890
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Fax | 212-472-1971
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Provider Business Mailing Address
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Address Line | 114 E 72ND ST SUITE B
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City | NEW YORK
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State | NY
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Zip | 10021-4245
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Country | US
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Telephone | 212-472-2890
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Fax | 212-472-1971
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARIE SPAGNOLI
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Credential |
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Telephone | 212-472-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 140666
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License Number State | NY
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