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General NPI Number Information
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NPI Number | 1003809633
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Entity Type | Individual
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Provider Name | MASUD SHAH HASHMI MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 500 E POTTAWATAMIE ST
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City | TECUMSEH
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State | MI
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Zip | 49286-2018
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Country | US
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Telephone | 517-424-3050
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Fax | 517-424-3613
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Provider Business Mailing Address
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Address Line | 729 CLARK ST
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City | TECUMSEH
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State | MI
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Zip | 49286-1175
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Country | US
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Telephone | 919-425-1565
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Fax | 919-425-0478
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2010-00485
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34044042
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301089254
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2010-00485
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License Number State | NC
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