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General NPI Number Information
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NPI Number | 1487987780
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Entity Type | Organization
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Legal Business Name | NATHANIEL SHAFER, M.D., P.C.
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 10 E 85TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-0412
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Country | US
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Telephone | 212-289-7120
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Fax | 212-879-9364
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Provider Business Mailing Address
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Address Line | 10 E 85TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-0412
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Country | US
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Telephone | 212-289-7120
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Fax | 212-879-9364
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. NATHANIEL SHAFER
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Credential | M.D.
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Telephone | 212-289-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | 076953
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 076953
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 076953
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License Number State | NY
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