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General NPI Number Information
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NPI Number | 1629049036
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Entity Type | Individual
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Provider Name | SHAKEEL AMANULLAH MD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 540 N DUKE ST SUITE 244
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City | LANCASTER
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State | PA
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Zip | 17602-2374
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Country | US
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Telephone | 717-544-4930
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Fax | 717-544-4964
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Provider Business Mailing Address
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Address Line | 540 N DUKE ST SUITE 244
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City | LANCASTER
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State | PA
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Zip | 17602-2374
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Country | US
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Telephone | 717-544-7679
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Fax | 717-544-4964
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD422116
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 01064290A
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License Number State | IN
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