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General NPI Number Information
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NPI Number | 1114041316
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Entity Type | Organization
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Legal Business Name | SHAMS IQBAL INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 3600 LIME ST STE 714
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City | RIVERSIDE
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State | CA
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Zip | 92501-2978
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Country | US
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Telephone | 951-367-1060
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Fax | 951-686-5282
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Provider Business Mailing Address
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Address Line | 3600 LIME ST STE 714
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City | RIVERSIDE
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State | CA
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Zip | 92501-2978
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Country | US
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Telephone | 951-367-1060
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Fax | 951-686-5282
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. NIGHAT SHERE
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Credential | NP
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Telephone | 95133671060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | A69076
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License Number State | CA
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