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General NPI Number Information
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NPI Number | 1659476331
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Entity Type | Individual
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Provider Name | SHAJITHA NAWAZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 40925 COUNTY CENTER DR STE 200
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City | TEMECULA
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State | CA
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Zip | 92591-6037
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Country | US
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Telephone | 951-600-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 40925 COUNTY CENTER DR STE 200
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City | TEMECULA
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State | CA
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Zip | 92591-6037
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Country | US
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Telephone | 951-600-6300
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2003031776
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License Number State | MO
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