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General NPI Number Information
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NPI Number | 1053408203
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Entity Type | Organization
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Legal Business Name | SHAFI MEDICAL CENTER SC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 1919 W NORTH AVE #200
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City | MILWAUKEE
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State | WI
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Zip | 53205
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Country | US
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Telephone | 414-387-1000
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Fax | 414-287-1010
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Provider Business Mailing Address
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Address Line | 4555 W SCHROEDER DR #170
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City | MILWAUKEE
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State | WI
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Zip | 53223-1475
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Country | US
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Telephone | 414-365-3210
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Fax | 414-365-3225
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MOHAMMAD SHAFI
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Credential | MD
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Telephone | 414-287-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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