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General NPI Number Information
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NPI Number | 1689887960
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Entity Type | Organization
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Legal Business Name | JAVED K SHINWARI, MD,PA
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3025 FOUNTAIN DR SUITE 100
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City | CONWAY
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State | AR
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Zip | 72034-3025
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Country | US
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Telephone | 501-329-1700
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Fax | 501-329-2440
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Provider Business Mailing Address
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Address Line | 3025 FOUNTAIN DR SUITE 100
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City | CONWAY
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State | AR
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Zip | 72034-3025
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Country | US
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Telephone | 501-329-1700
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Fax | 501-329-2440
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Authorized Official
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Title or Position | MD
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Name | DR. JAVED SHINWARI
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Credential | MD
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Telephone | 501-329-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E3091
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License Number State | AR
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