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General NPI Number Information
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NPI Number | 1205827078
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Entity Type | Individual
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Provider Name | SARAH SHAHABUDDIN MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 130 TEMPLE LAKE DR SUITE 5
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-4902
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Country | US
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Telephone | 804-526-3450
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Fax | 804-520-1809
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Provider Business Mailing Address
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Address Line | PO BOX 8266
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City | RICHMOND
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State | VA
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Zip | 23226-0266
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Country | US
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Telephone | 804-285-0100
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Fax | 804-285-2458
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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 | 0101231890
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 0101231890
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License Number State | VA
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