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General NPI Number Information
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NPI Number | 1164455101
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Entity Type | Individual
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Provider Name | ZAINAB SHAMMA MD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 176 DAWKINS DR
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City | LEWISBURG
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State | WV
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Zip | 24901-9302
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Country | US
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Telephone | 304-647-1148
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Fax | 304-793-2208
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Provider Business Mailing Address
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Address Line | 176 DAWKINS DR
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City | LEWISBURG
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State | WV
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Zip | 24901-9302
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Country | US
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Telephone | 304-793-3530
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 15358
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License Number State | WV
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