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General NPI Number Information
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NPI Number | 1427672401
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Entity Type | Individual
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Provider Name | SAAD SHAMSHAIR
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Gender | Male
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 130 S BRYN MAWR AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3121
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Country | US
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Telephone | 888-227-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD DIVISION OF PEDIATRIC CHILD AND ADOLESCENT PSYCHIATRY
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MT227827
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351046125
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD482181
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License Number State | PA
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