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General NPI Number Information
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NPI Number | 1780723379
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Entity Type | Individual
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Provider Name | MIA A. SHAPIRO LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 7 RYE RIDGE PLZ # 356
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City | RYE BROOK
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State | NY
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Zip | 10573-2822
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Country | US
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Telephone | 914-417-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RYE RIDGE PLZ # 356
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City | RYE BROOK
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State | NY
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Zip | 10573-2822
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW01932
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 079494
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License Number State | NY
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