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General NPI Number Information
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NPI Number | 1881909539
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Entity Type | Individual
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Provider Name | STEPHANIE SHAPIRO APRN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 100 K JOHNSON BLVD STE 101
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2275
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Country | US
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Telephone | 609-298-2005
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Fax | 609-324-8267
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Provider Business Mailing Address
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Address Line | 100 K JOHNSON BLVD STE 101
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2275
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Country | US
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Telephone | 609-298-2005
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Fax | 609-324-8267
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00299400
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License Number State | NJ
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