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General NPI Number Information
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NPI Number | 1407960156
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Entity Type | Individual
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Provider Name | AMR A SHAHIN MBBCH, FAAP
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 11190 HEALTH PARK BLVD
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City | NAPLES
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State | FL
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Zip | 34110-5729
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Country | US
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Telephone | 239-624-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 11190 HEALTH PARK BLVD
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City | NAPLES
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State | FL
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Zip | 34110-5729
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Country | US
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Telephone |
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Fax |
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 56753
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME170470
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License Number State | FL
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