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General NPI Number Information
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NPI Number | 1528291689
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Entity Type | Individual
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Provider Name | HELENE SHAPIRO D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 6015 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-3032
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Country | US
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Telephone | 410-670-5354
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Fax |
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Provider Business Mailing Address
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Address Line | 14 RUBY FIELD CT
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City | BALTIMORE
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State | MD
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Zip | 21209-1559
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Country | US
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Telephone | 201-417-5119
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14458
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02418900
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License Number State | NJ
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