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General NPI Number Information
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NPI Number | 1730276981
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Entity Type | Organization
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Legal Business Name | SHAFI J AHMED MD PC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | G4007 W COURT ST SUITE B
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City | FLINT
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State | MI
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Zip | 48532-3560
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Country | US
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Telephone | 810-732-7716
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Fax | 810-732-7863
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Provider Business Mailing Address
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Address Line | G4007 W COURT ST SUITE B
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City | FLINT
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State | MI
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Zip | 48532-3560
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Country | US
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Telephone | 810-732-7716
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Fax | 810-732-7863
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | SHAFI J AHMED
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Credential | M.D.
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Telephone | 810-732-7716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301023712
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301056194
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License Number State | MI
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