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General NPI Number Information
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NPI Number | 1508443144
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Entity Type | Organization
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Legal Business Name | SHIFA METRO CLINIC PLLC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 5270 W 84TH ST STE 370
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1377
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Country | US
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Telephone | 952-395-5222
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Fax | 952-395-5333
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Provider Business Mailing Address
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Address Line | 5270 W. 84TH STREET SUITE 370
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1377
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Country | US
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Telephone | 952-395-5222
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Fax | 952-395-5333
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. ABDIRIZAK NUNO
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Credential | MD
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Telephone | 952-395-2222
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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 |
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License Number State |
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