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General NPI Number Information
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NPI Number | 1609137009
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Entity Type | Organization
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Legal Business Name | TALHA SHAMIM, MD LLC
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 06/01/2012
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Provider Practice Location Address
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Address Line | 1780 S BELLAIRE ST SUITE 230
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City | DENVER
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State | CO
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Zip | 80222-4307
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Country | US
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Telephone | 877-445-9052
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Fax | 877-530-1781
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Provider Business Mailing Address
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Address Line | 1426 MARBLE CREST WAY
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4656
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Country | US
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Telephone | 877-445-9052
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Fax | 877-530-1781
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TALHA SHAMIM
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Credential | M.D.
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Telephone | 561-972-9553
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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 | ME102917
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License Number State | FL
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