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General NPI Number Information
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NPI Number | 1487009312
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Entity Type | Organization
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Legal Business Name | DR. ALLEN P. SHAPIRO DDS.LTD
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 9501 ROOSEVELT BLVD SUITE 409
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1025
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Country | US
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Telephone | 215-673-1333
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Fax | 215-673-1752
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Provider Business Mailing Address
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Address Line | 9501 ROOSEVELT BLVD SUITE 409
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1025
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Country | US
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Telephone | 215-673-1333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ALLEN PAUL SHAPIRO
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Credential | DDS
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Telephone | 215-673-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS016324L
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License Number State | PA
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