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General NPI Number Information
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NPI Number | 1518148295
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Entity Type | Organization
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Legal Business Name | HUMA SHAKIL, MD, PA
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 625 KENT AVE STE 204
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City | CUMBERLAND
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State | MD
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Zip | 21502-3799
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Country | US
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Telephone | 301-777-7300
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Fax | 301-777-4000
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Provider Business Mailing Address
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Address Line | 625 KENT AVE, SUITE 204
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City | CUMBERLAND
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State | MD
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Zip | 21502-3799
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Country | US
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Telephone | 301-777-7300
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Fax | 301-777-4000
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DR. SHAKIL M RAHMAN
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Credential | PH.D
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Telephone | 301-777-7300
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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 |
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License Number State |
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