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General NPI Number Information
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NPI Number | 1700934593
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Entity Type | Individual
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Provider Name | SHAZIA A MALIK MD
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 1616 E MARYLAND AVE
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City | PHOENIX
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State | AZ
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Zip | 85016-1302
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Country | US
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Telephone | 602-788-1521
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Fax | 602-688-5420
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Provider Business Mailing Address
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Address Line | 1616 E MARYLAND AVE
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City | PHOENIX
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State | AZ
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Zip | 85016-1302
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Country | US
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Telephone | 602-788-1521
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Fax | 602-688-5420
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A86679
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 36891
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License Number State | AZ
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