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General NPI Number Information
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NPI Number | 1699142851
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Entity Type | Individual
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Provider Name | DANIEL I SHAPIRO PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 2230 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817
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Country | US
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Telephone | 916-734-7875
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Fax | 916-734-7539
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Provider Business Mailing Address
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Address Line | 2230 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-1353
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Country | US
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Telephone | 916-734-7875
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Fax | 916-734-7539
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY003876
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10161
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 30168
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License Number State | CA
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