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General NPI Number Information
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NPI Number | 1538241369
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Entity Type | Individual
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Provider Name | NASFAT JAMEEL SHEHADEH MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2711 RANDOLPH RD STE 400
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City | CHARLOTTE
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State | NC
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Zip | 28207-2027
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Country | US
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Telephone | 707-342-9577
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Fax | 704-377-0353
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Provider Business Mailing Address
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Address Line | 2711 RANDOLPH RD STE 400
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City | CHARLOTTE
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State | NC
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Zip | 28207-2027
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Country | US
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Telephone | 707-342-9577
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Fax | 704-377-0353
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2015-01740
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License Number State | NC
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