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General NPI Number Information
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NPI Number | 1669676250
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Entity Type | Individual
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Provider Name | SHAAD ESSA ABEDIN MD FACP
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 405 CHATHAM HEIGHTS RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2582
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Country | US
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Telephone | 540-300-6182
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Fax |
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Provider Business Mailing Address
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Address Line | 405 CHATHAM HEIGHTS RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2582
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Country | US
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Telephone | 540-300-1602
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Fax | 646-349-7620
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD041091
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D0074899
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0101252823
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License Number State | VA
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