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General NPI Number Information
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NPI Number | 1356682181
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Entity Type | Organization
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Legal Business Name | SHAHIDA BASHIR MD PA
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 13455 S MILITARY TRL STE A
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City | DELRAY BEACH
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State | FL
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Zip | 33484-1323
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Country | US
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Telephone | 561-424-3180
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Fax | 561-300-2531
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Provider Business Mailing Address
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Address Line | 13455 S MILITARY TRL STE A
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City | DELRAY BEACH
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State | FL
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Zip | 33484-1323
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Country | US
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Telephone | 561-424-3180
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Fax | 561-300-2531
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | SHAHIDA BASHIR
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Credential | M.D.
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Telephone | 561-424-3180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME108007
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | ME108007
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME108007
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License Number State | FL
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