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General NPI Number Information
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NPI Number | 1609031566
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Entity Type | Organization
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Legal Business Name | SHIFA AL ASQAM MEDICAL CENTER
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 540 FAYETTEVILLE RD SE
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City | ATLANTA
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State | GA
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Zip | 30316-2306
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Country | US
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Telephone | 404-964-0960
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 170560
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City | ATLANTA
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State | GA
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Zip | 30317-0560
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NEVORN ASKARI
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Credential | M.D.
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Telephone | 404-687-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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