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General NPI Number Information
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NPI Number | 1679101034
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Entity Type | Individual
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Provider Name | ARIA SHAKERI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | CHI HEALTH REGIONAL CANCER CENTER 2620 W FAIDLEY AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803
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Country | US
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Telephone | 308-398-5450
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Fax | 308-398-5351
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Provider Business Mailing Address
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Address Line | CHI HEALTH REGIONAL CANCER CENTER 2620 W FAIDLEY AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803
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Country | US
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Telephone | 203-732-7327
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 36697
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License Number State | NE
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