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General NPI Number Information
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NPI Number | 1760587661
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Entity Type | Organization
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Legal Business Name | LAWRENCE A. SHAFRON MD PA
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 2210 SAN JACINTO BLVD STE 1
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City | DENTON
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State | TX
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Zip | 76205-7531
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Country | US
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Telephone | 940-382-8000
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Fax | 940-383-2608
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Provider Business Mailing Address
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Address Line | 2210 SAN JACINTO BLVD SUITE 1
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City | DENTON
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State | TX
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Zip | 76205-7527
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Country | US
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Telephone | 940-382-8000
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Fax | 940-383-2608
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE AARON SHAFRON
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Credential | MD
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Telephone | 940-382-8000
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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 | J1389
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License Number State | TX
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