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General NPI Number Information
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NPI Number | 1649314329
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Entity Type | Individual
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Provider Name | SHABNAM MAGHSOOD M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 34 MANCHESTER AVE STE 201
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City | FORKED RIVER
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State | NJ
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Zip | 08731-1366
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Country | US
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Telephone | 609-242-5041
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Fax | 609-489-4835
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA08882100
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License Number State | NJ
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