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General NPI Number Information
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NPI Number | 1689031817
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Entity Type | Organization
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Legal Business Name | SHAFFER GROUP INC
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 40315 BELLEVUE DR
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City | TEMECULA
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State | CA
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Zip | 92591-7563
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Country | US
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Telephone | 951-595-2764
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Fax |
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Provider Business Mailing Address
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Address Line | 40335 WINCHESTER RD STE 280
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City | TEMECULA
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State | CA
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Zip | 92591-5500
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Country | US
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Telephone | 951-595-2764
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHANIE SHAFFER
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Credential |
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Telephone | 951-595-2764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW27326
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License Number State | CA
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