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General NPI Number Information
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NPI Number | 1457678195
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Entity Type | Individual
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Provider Name | RAJ NANJI SHEKHAT
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Gender | Male
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-686-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 345 JUPITER LAKES BLVD SUITE 302A
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City | JUPITER
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State | FL
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Zip | 33458-7100
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Country | US
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Telephone | 561-922-7052
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME121802
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME121802
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License Number State | FL
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