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General NPI Number Information
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NPI Number | 1629061403
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Entity Type | Individual
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Provider Name | HERBERT NORMAN SHAPIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 6150 OAKLAND AVE 2ND FLOOR, WCC
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City | SAINT LOUIS
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State | MO
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Zip | 63139-3215
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Country | US
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Telephone | 314-845-2500
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Fax | 314-845-8060
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Provider Business Mailing Address
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Address Line | 617 BROOKMONT LAKE CT
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City | CHESTERFIELD
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State | MO
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Zip | 63017-7059
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Country | US
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Telephone | 314-845-2500
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Fax | 314-845-8060
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 27603
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License Number State | MO
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