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General NPI Number Information
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NPI Number | 1588743207
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Entity Type | Organization
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Legal Business Name | ZAHRA SHAFAEE, MD, PC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 VALLEY HEALTH PLZ LUCKOW PAVILLION, 2ND FLOOR
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City | PARAMUS
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State | NJ
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Zip | 07652-3628
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Country | US
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Telephone | 201-634-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 MIDLAND AVE APT 10C
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City | BRONXVILLE
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State | NY
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Zip | 10708-6428
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Country | US
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Telephone | 914-202-9383
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Fax | 914-202-9382
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Authorized Official
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Title or Position | SOLE INCORPORATOR, DIRECTOR
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Name | DR. ZAHRA SHAFAEE
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Credential | M.D.
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Telephone | 201-634-5363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 25MA08138100
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License Number State | NJ
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