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General NPI Number Information
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NPI Number | 1730220443
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Entity Type | Individual
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Provider Name | ROBERTA F SHAPIRO D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 115 E 61ST ST SUITE 10A
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City | NEW YORK
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State | NY
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Zip | 10021-8183
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Country | US
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Telephone | 212-888-4635
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Fax | 212-888-4637
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Provider Business Mailing Address
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Address Line | 115 E 61ST ST SUITE 10A
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City | NEW YORK
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State | NY
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Zip | 10021-8183
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Country | US
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Telephone | 212-888-4635
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Fax | 212-888-4637
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 179317
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License Number State | NY
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