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General NPI Number Information
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NPI Number | 1699033498
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Entity Type | Individual
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Provider Name | JANICE LEE SHAPIRO LICENSED MFT
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/25/2015
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Provider Practice Location Address
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Address Line | 3880 S BASCOM AVE 216
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City | SAN JOSE
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State | CA
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Zip | 95124-2674
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Country | US
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Telephone | 408-596-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 2059 CAMDEN AVE 180
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City | SAN JOSE
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State | CA
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Zip | 95124-2024
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Country | US
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Telephone | 408-832-3474
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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