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General NPI Number Information
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NPI Number | 1487890497
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Entity Type | Individual
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Provider Name | SHABINA AFRIDI MD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1668 W PEACE ST
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City | CANTON
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State | MS
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Zip | 39046-5332
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Country | US
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Telephone | 601-859-5213
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Fax | 601-859-8771
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Provider Business Mailing Address
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Address Line | 1668 W PEACE ST
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City | CANTON
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State | MS
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Zip | 39046-5332
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Country | US
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Telephone | 601-859-5213
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Fax | 601-859-8771
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 20978
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License Number State | MS
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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 | 0101244990
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 80750
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20978
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License Number State | MS
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