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General NPI Number Information
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NPI Number | 1710182498
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Entity Type | Organization
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Legal Business Name | SHAFQUAT MERAJ, M.D., P.A.
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 1015 PRINCE FREDERICK BOULEVARD
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4019
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Country | US
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Telephone | 410-231-4666
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Fax | 410-414-8480
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Provider Business Mailing Address
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Address Line | PO BOX 447
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-0447
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Country | US
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Telephone | 410-535-4116
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Fax | 410-414-8480
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAFQUAT MERAJ
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Credential | M.D.
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Telephone | 410-231-4666
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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 | D0060084
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License Number State | MD
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