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General NPI Number Information
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NPI Number | 1740298363
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Entity Type | Organization
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Legal Business Name | JAVAID M SHAFI MD PA
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 2300 GARRISON BLVD STE 230
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City | BALTIMORE
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State | MD
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Zip | 21216-2377
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Country | US
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Telephone | 410-566-1211
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Fax | 446-455-1464
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Provider Business Mailing Address
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Address Line | 2300 GARRISON BLVD STE 230
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City | BALTIMORE
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State | MD
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Zip | 21216-2377
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Country | US
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Telephone | 410-566-1211
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Fax | 410-566-0638
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAVAID MUHAMMAD SHAFI
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Credential | MD
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Telephone | 410-566-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | D0014138
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License Number State | MD
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