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General NPI Number Information
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NPI Number | 1639343684
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Entity Type | Organization
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Legal Business Name | ALAN E. SHAPIRO, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/21/2008
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST 765W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6101
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Country | US
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Telephone | 310-854-7717
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Fax | 310-289-5198
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Provider Business Mailing Address
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Address Line | 8635 W 3RD ST STE 765W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6108
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Country | US
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Telephone | 310-854-7717
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Fax | 323-587-3800
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARINA CAMBEROS
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Credential |
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Telephone | 310-854-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G11559
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License Number State | CA
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