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General NPI Number Information
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NPI Number | 1669438719
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Entity Type | Individual
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Provider Name | SHERIF M SHAMAA I M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 3322 SABLE CRK
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2219
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Country | US
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Telephone | 210-286-4535
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Fax | 210-286-4535
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Provider Business Mailing Address
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Address Line | 3322 SABLE CREEK
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City | SAN ANTONIO
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State | TX
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Zip | 78259
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Country | US
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Telephone | 201-286-4535
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Fax | 210-277-0643
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01044550A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2018033138
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License Number State | MO
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