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General NPI Number Information
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NPI Number | 1922211531
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Entity Type | Organization
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Legal Business Name | DRS. SHAFFER & SANK, P.C.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6310 WINSTON DR
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City | BETHESDA
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State | MD
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Zip | 20817-5833
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Country | US
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Telephone | 301-229-3066
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Fax | 301-229-3066
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Provider Business Mailing Address
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Address Line | 6310 WINSTON DR
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City | BETHESDA
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State | MD
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Zip | 20817-5833
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Country | US
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Telephone | 301-229-3066
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Fax | 301-229-3066
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE I SANK
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Credential | PH.D.
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Telephone | 301-229-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 717
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 604
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 840
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1129
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License Number State | MD
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