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General NPI Number Information
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NPI Number | 1215323183
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Entity Type | Individual
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Provider Name | ALIREZA SHAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2520 E PACHECO BLVD
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City | LOS BANOS
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State | CA
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Zip | 93635-9403
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Country | US
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Telephone | 559-664-4000
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Fax | 559-675-5224
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Provider Business Mailing Address
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Address Line | 2520 E PACHECO BLVD
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City | LOS BANOS
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State | CA
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Zip | 93635-9403
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Country | US
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Telephone | 559-664-4000
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Fax | 559-675-5224
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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 | ME147252
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A155911
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME147252
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License Number State | FL
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