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General NPI Number Information
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NPI Number | 1245200781
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Entity Type | Individual
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Provider Name | SHAHID I RAFIQ MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 87 INTERSTATE 10 N STE 127
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City | BEAUMONT
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State | TX
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Zip | 77707-2501
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Country | US
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Telephone | 409-860-8181
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Fax | 409-860-8184
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Provider Business Mailing Address
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Address Line | PO BOX 5098
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City | BEAUMONT
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State | TX
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Zip | 77726-5098
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Country | US
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Telephone | 409-212-9988
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Fax | 409-212-8449
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L5882
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License Number State | TX
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