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General NPI Number Information
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NPI Number | 1326059387
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Entity Type | Individual
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Provider Name | SHAHEM KAWJI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 20311 SW BIRCH ST STE 150
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1779
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Country | US
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Telephone | 949-427-2020
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Fax | 949-579-2601
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Provider Business Mailing Address
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Address Line | 20311 SW BIRCH ST STE 150
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1779
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Country | US
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Telephone | 949-427-2020
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Fax | 949-579-2601
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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 | A93120
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | A93120
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A93120
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License Number State | CA
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