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General NPI Number Information
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NPI Number | 1518987791
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Entity Type | Individual
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Provider Name | TASNEEM F SHAMIM M.D
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 1283 ROUTE 27
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City | SOMERSET
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State | NJ
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Zip | 08873
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Country | US
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Telephone | 732-745-4844
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Fax | 732-545-3423
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Provider Business Mailing Address
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Address Line | 1283 STATE HIGHWAY NO. 27
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City | SOMERSET
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State | NJ
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Zip | 08873
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Country | US
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Telephone | 732-745-4844
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Fax | 732-545-3423
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA41521
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License Number State | NJ
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