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General NPI Number Information
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NPI Number | 1255800629
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Entity Type | Organization
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Legal Business Name | SHIFFA MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 12144 MONTALCINO CIRCLE
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City | WINDERMERE
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State | FL
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Zip | 34780
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Country | US
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Telephone | 321-436-0035
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Fax | 863-291-6038
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Provider Business Mailing Address
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Address Line | 12144 MONTALCINO CIR
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City | WINDERMERE
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State | FL
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Zip | 34780
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Country | US
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Telephone | 321-436-0035
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Fax | 863-291-6038
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Authorized Official
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Title or Position | OWNER
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Name | SYED I MOBIN
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Credential | M.D.
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Telephone | 321-436-0035
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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 |
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License Number State |
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