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General NPI Number Information
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NPI Number | 1861491003
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Entity Type | Individual
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Provider Name | CRAIG BRIAN SHAPIRO D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 714 REED ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-5739
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Country | US
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Telephone | 215-627-1610
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Fax | 267-514-2990
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Provider Business Mailing Address
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Address Line | 714 REED ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-5739
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Country | US
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Telephone | 215-627-1610
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Fax | 215-334-7726
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-007201-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00616800
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License Number State | NJ
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