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General NPI Number Information
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NPI Number | 1356631287
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Entity Type | Individual
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Provider Name | RAJI M SHAMEEM M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 7472 DOCS GROVE CIR
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City | ORLANDO
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State | FL
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Zip | 32819-8010
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Country | US
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Telephone | 407-241-1037
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Fax | 321-842-7966
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Provider Business Mailing Address
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Address Line | 7472 DOCS GROVE CIR
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City | ORLANDO
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State | FL
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Zip | 32819-8010
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Country | US
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Telephone | 407-241-1037
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Fax | 321-842-7966
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | ME131216
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | FS2720680
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD453183
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME131216
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License Number State | FL
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