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NPI 1053807727

NPI 1053807727 : SARA SHAFQAT MD : WOODBRIDGE, VA

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General NPI Number Information
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    NPI Number           |    1053807727
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    Entity Type          |    Individual 
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    Provider Name        |    SARA SHAFQAT MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2018
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    1982 OPITZ BLVD 
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    City                 |    WOODBRIDGE
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    State                |    VA
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    Zip                  |    22191-3304
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    Country              |    US
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    Telephone            |    540-840-6899
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    Fax                  |    703-804-0279
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Provider Business Mailing Address
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    Address Line         |    6286 DUNAWAY CT 
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    City                 |    MC LEAN
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    State                |    VA
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    Zip                  |    22101-2204
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    Country              |    US
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    Telephone            |    540-840-6899
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    Fax                  |    703-804-0279
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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       |    35.142349
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    License Number State |    OH
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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       |    D98131
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    35.142349
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    License Number State |    OH
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