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General NPI Number Information
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NPI Number | 1629622337
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Entity Type | Individual
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Provider Name | SHABNAM KHALIFA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 5 MACY ST
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City | AMESBURY
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State | MA
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Zip | 01913-3706
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Country | US
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Telephone | 978-834-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MACY ST
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City | AMESBURY
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State | MA
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Zip | 01913-3706
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Country | US
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Telephone | 978-834-0300
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0031202
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3017541
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN03064
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN2294164
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NP500002239
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11018215
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 101.0149386
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License Number State | VT
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53-81003-042
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License Number State | KS
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 087557-23
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License Number State | NH
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP221121
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License Number State | ME
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R253163
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License Number State | MD
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LG0011932
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License Number State | DE
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2294164
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License Number State | MA
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