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General NPI Number Information
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NPI Number | 1952410136
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Entity Type | Individual
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Provider Name | RITA ANNE SHAPIRO D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 600 S PAULINA ST SUITE 130
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City | CHICAGO
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State | IL
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Zip | 60612-3806
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Country | US
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Telephone | 312-942-3333
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Fax | 312-942-4154
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Provider Business Mailing Address
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Address Line | 1572 MAPLE AVE NO. 304
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City | EVANSTON
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State | IL
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Zip | 60201-4328
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Country | US
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Telephone | 847-424-0447
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-053028
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 036-053028
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036-053028
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License Number State | IL
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