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General NPI Number Information
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NPI Number | 1770768780
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Entity Type | Individual
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Provider Name | MAX A SHAPIRO MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 5669 PEACHTREE DUNWOODY RD NE SUITE 210
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City | ATLANTA
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State | GA
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Zip | 30342-1786
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Country | US
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Telephone | 404-255-4333
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Fax | 404-255-0601
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Provider Business Mailing Address
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Address Line | 5669 PEACHTREE DUNWOODY RD NE SUITE 210
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City | ATLANTA
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State | GA
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Zip | 30342-1786
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Country | US
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Telephone | 404-255-4333
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Fax | 404-255-0601
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 053162
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License Number State | GA
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