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General NPI Number Information
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NPI Number | 1942641568
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Entity Type | Organization
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Legal Business Name | DAVID A SHAPIRO, PH.D., P.C.
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 1301 S 8TH ST SUITE 301
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7335
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Country | US
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Telephone | 719-634-6887
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Fax | 719-630-7858
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Provider Business Mailing Address
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Address Line | 1301 S 8TH ST SUITE 301
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7335
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Country | US
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Telephone | 719-634-6887
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Fax | 719-630-7858
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. DAVID ADAM SHAPIRO
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Credential | PH.D.
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Telephone | 719-634-6887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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