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General NPI Number Information
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NPI Number | 1295832277
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Entity Type | Individual
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Provider Name | SHAHIRA SHAFIK ABDEL-MALEK MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 3100 E FLORENCE AVE #1
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5848
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Country | US
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Telephone | 323-583-4115
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Fax | 323-584-9089
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Provider Business Mailing Address
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Address Line | 3100 E FLORENCE AVE #1
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5848
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Country | US
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Telephone | 323-583-4115
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Fax | 323-584-9089
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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 | A36609
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License Number State | CA
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