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General NPI Number Information
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NPI Number | 1356643787
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Entity Type | Organization
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Legal Business Name | TASNEEM F SHAMIM MD, L.L.C
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 1283 STATE ROUTE 27
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City | SOMERSET
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State | NJ
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Zip | 08873-5005
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Country | US
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Telephone | 732-745-4844
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Fax | 732-545-3423
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Provider Business Mailing Address
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Address Line | 1283 STATE ROUTE 27
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City | SOMERSET
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State | NJ
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Zip | 08873-5005
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Country | US
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Telephone | 732-745-4844
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Fax | 732-545-3423
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Authorized Official
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Title or Position | OWNER
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Name | TASNEEM F SHAMIM
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Credential | MD
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Telephone | 732-745-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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