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General NPI Number Information
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NPI Number | 1588838742
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Entity Type | Organization
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Legal Business Name | ANDREW J SHAPIRO MD PA
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 10115 W FOREST HILL BLVD SUITE 405
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City | WELLINGTON
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State | FL
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Zip | 33414-3105
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Country | US
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Telephone | 561-333-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 4095 STATE ROAD 7 SUITE L 148
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City | LAKE WORTH
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State | FL
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Zip | 33449-8178
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Country | US
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Telephone | 561-906-9797
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ANDREW J SHAPIRO
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Credential | MD
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Telephone | 561-906-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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