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Individual
MARC RANDALL SHAPIRO
Active
Individual
MARC RANDALL SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G343590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G343590
—
CA
01
—
110222799
MEDICARE RAILROAD #
CA
01
—
P00730930
MEDICARE RAILROAD
CA
Enumeration date
06/27/2006
Last updated
08/28/2009
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