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NPI 1508432196

NPI 1508432196 : SHAMEELA BEGUM M.D. : SAN BERNARDINO, CA

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General NPI Number Information
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    NPI Number           |    1508432196
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    Entity Type          |    Individual 
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    Provider Name        |    SHAMEELA BEGUM M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2021
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    Last Update Date     |    07/17/2025
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Provider Practice Location Address
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    Address Line         |    2101 N WATERMAN AVE 
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92404-4836
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    Country              |    US
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    Telephone            |    --
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    525 ACACIA ST, 
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    City                 |    SCOCKTON
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    State                |    CA
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    Zip                  |    96203
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    Country              |    US
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    Telephone            |    209-944-5550
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    A193832
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    License Number State |    CA
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