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General NPI Number Information
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NPI Number | 1518150473
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Entity Type | Individual
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Provider Name | RICHARD ALAN SHAPIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 5140 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3645
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Country | US
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Telephone | 773-878-8200
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Fax | 773-293-5346
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-982-6715
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.154110
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036154110
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G85992
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License Number State | CA
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