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General NPI Number Information
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NPI Number | 1306891841
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Entity Type | Individual
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Provider Name | FARID F SHAFAIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 3249 SOUTH OAK PARK AVE.
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City | BERWYN
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State | IL
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Zip | 60402
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Country | US
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Telephone | 708-783-3152
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Fax | 708-783-3164
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Provider Business Mailing Address
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Address Line | 1770 IOWA AVE STE 280
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City | RIVERSIDE
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State | CA
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Zip | 92507-7401
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Country | US
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Telephone | 951-786-0801
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Fax | 708-783-3164
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 12090
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 036107562
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0025650
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-07-4492-S
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101049809
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D57087
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 110062
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036-107562
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME134254
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L6173
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License Number State | TX
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