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General NPI Number Information
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NPI Number | 1578896247
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Entity Type | Individual
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Provider Name | TSIPPORA SHAINHOUSE MD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 239 S LA CIENEGA BLVD STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3319
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Country | US
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Telephone | 424-302-0394
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Fax | 424-239-7050
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Provider Business Mailing Address
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Address Line | 414 S LAS PALMAS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-4816
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Country | US
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Telephone | 718-510-2419
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Fax | 424-239-7050
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A82036
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A82036
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License Number State | CA
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