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General NPI Number Information
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NPI Number | 1659442226
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Entity Type | Individual
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Provider Name | SHOOJA MANZOOR MD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 575 ROUTE 28 STE 2100
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City | RARITAN
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State | NJ
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Zip | 08869-1363
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Country | US
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Telephone | 89-725-5530
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Fax | 908-253-6559
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Provider Business Mailing Address
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Address Line | 11116 MEDICAL CAMPUS RD
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6710
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0103513
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA121796000
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License Number State | NJ
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