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General NPI Number Information
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NPI Number | 1699650044
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Entity Type | Organization
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Legal Business Name | SHANE SPEIRS MD II PLLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 813 SOUTHBRIDGE ST
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City | AUBURN
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State | MA
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Zip | 01501-1323
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Country | US
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Telephone | 602-491-0703
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Fax | 508-832-6479
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Provider Business Mailing Address
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Address Line | 501 N 44TH ST STE 450
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City | PHOENIX
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State | AZ
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Zip | 85008-6526
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Country | US
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Telephone | 602-491-0703
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. FARAH KHAN
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Credential | MD
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Telephone | 480-495-5485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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