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General NPI Number Information
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NPI Number | 1568558872
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Entity Type | Individual
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Provider Name | MARLA BETH SHAPIRO PHD, DBSM, HSP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 226 E TREMONT AVE
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City | CHARLOTTE
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State | NC
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Zip | 28203-5022
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Country | US
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Telephone | 704-317-7177
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Fax | 888-598-9466
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Provider Business Mailing Address
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Address Line | 226 E TREMONT AVE
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City | CHARLOTTE
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State | NC
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Zip | 28203-5022
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Country | US
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Telephone | 704-317-7177
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Fax | 888-598-9466
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6454
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 098191
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6454
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY001981
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 09724
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 6454
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 098191
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License Number State | IA
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Taxonomy #8
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number | PSY001981
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number | 098191
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License Number State | IA
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Taxonomy #10
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number | 09724
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License Number State | IA
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Taxonomy #11
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number | 1074
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License Number State | NE
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Taxonomy #12
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY001981
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License Number State | GA
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