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General NPI Number Information
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NPI Number | 1093973687
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Entity Type | Individual
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Provider Name | DR. SHAYASTA SHAHEEN MUFTI
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Gender | Female
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 1227 KING JAMES CT
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City | BEAR
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State | DE
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Zip | 19701-4743
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Country | US
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Telephone | 813-420-8756
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 KING JAMES CT
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City | BEAR
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State | DE
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Zip | 19701-4743
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Country | US
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Telephone | 813-420-8756
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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 | MD450561
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License Number State | PA
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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 | 2018-00579
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License Number State | NC
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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 | MD450561
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0009948
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 308133
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 292356
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TD121031
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101251621
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License Number State | VA
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