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General NPI Number Information
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NPI Number | 1407927130
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Entity Type | Individual
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Provider Name | KHALID M SHIRIF M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 105 N PASADENA ST
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City | GILBERT
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State | AZ
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Zip | 85233-5013
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Country | US
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Telephone | 480-268-2670
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Fax | 480-268-2671
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Provider Business Mailing Address
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Address Line | 105 N PASADENA ST
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City | GILBERT
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State | AZ
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Zip | 85233-5013
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Country | US
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Telephone | 480-268-2670
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Fax | 480-268-2671
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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 | 2086H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Surgery) Physician
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License Number | 38215
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 38215
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 38215
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License Number State | AZ
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