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General NPI Number Information
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NPI Number | 1861454472
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Entity Type | Individual
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Provider Name | STEPHEN R SHAPIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 8316 ARLINGTON BLVD SUITE 500
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City | FAIRFAX
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State | VA
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Zip | 22031-5218
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Country | US
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Telephone | 703-876-8410
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Fax | 703-876-8417
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Provider Business Mailing Address
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Address Line | 8316 ARLINGTON BLVD SUITE 500
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City | FAIRFAX
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State | VA
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Zip | 22031-5207
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Country | US
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Telephone | 703-876-8410
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Fax | 703-876-8417
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 0101014152
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | D15835
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License Number State | MD
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