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General NPI Number Information
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NPI Number | 1548213705
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Entity Type | Individual
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Provider Name | GURVINDER S SHAHEED M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 550 W RANCH VIEW DRIVE
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City | ROCKLIN
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State | CA
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Zip | 95765
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Country | US
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Telephone | 916-409-1400
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Fax | 916-409-1499
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Provider Business Mailing Address
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Address Line | 3400 DATA DR PHYSICIAN SUPPORT SERVICES
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone | 916-379-2948
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Fax | 916-858-7065
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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 | A67842
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License Number State | CA
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