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General NPI Number Information
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NPI Number | 1649214529
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Entity Type | Individual
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Provider Name | AMIR H SHAHLAEE MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 4534A JOHN MARR DR
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City | ANNANDALE
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State | VA
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Zip | 22003-3308
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Country | US
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Telephone | 301-962-5800
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Fax | 301-962-9585
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Provider Business Mailing Address
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Address Line | 11002 VEIRS MILL ROAD, SUITE 414 INSTITUTE FOR ASTHMA AND ALLERGY
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City | WHEATON
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State | MD
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Zip | 20902
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Country | US
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Telephone | 301-962-5800
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Fax | 301-962-9585
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | D57508
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | ME92043
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | D0057508
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License Number State | MD
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