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General NPI Number Information
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NPI Number | 1396125647
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Entity Type | Individual
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Provider Name | ZAID MOHAMMED-KHAIR SHMAISANI MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 2518 JIMMY LEE SMITH PKWY
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City | HIRAM
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State | GA
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Zip | 30141-2068
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Country | US
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Telephone | 470-644-8027
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Fax | 470-986-7105
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Provider Business Mailing Address
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Address Line | 2518 JIMMY LEE SMITH PKWY
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City | HIRAM
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State | GA
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Zip | 30141-2068
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Country | US
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Telephone | 470-644-8027
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Fax | 470-986-7105
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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 | 2015019929
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 93784
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License Number State | GA
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