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General NPI Number Information
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NPI Number | 1043498058
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Entity Type | Individual
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Provider Name | QURRATUL AINE SHAMIM-UZZAMAN MD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 1500 E MEDICAL CENTER DR 7TH FLOOR MED INN
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City | ANN ARBOR
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State | MI
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Zip | 48109-5845
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Country | US
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Telephone | 734-936-9068
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 S STATE ST 700 KMS PLACE
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-936-2047
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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 | 0101238612
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD035987
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301095317
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 4301095317
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101238612
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD035987
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License Number State | DC
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301095317
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License Number State | MI
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