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General NPI Number Information
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NPI Number | 1689868713
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE SHAPIRO OT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 110 N FEDERAL HWY SUITE 201
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4300
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Country | US
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Telephone | 954-455-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 3060 NE 190TH ST SUITE 101
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City | AVENTURA
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State | FL
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Zip | 33180-3130
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Country | US
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Telephone | 954-295-4276
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OT12513
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License Number State | FL
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