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General NPI Number Information
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NPI Number | 1780632018
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Entity Type | Individual
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Provider Name | HIND SHABANY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 13677 W. MCDOWELL RD
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City | GOODYEAR
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State | AZ
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Zip | 85395
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Country | US
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Telephone | 623-882-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 333 FALAISE DR
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City | CREVE COEUR
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State | MO
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Zip | 63141-7403
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Country | US
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Telephone | 314-677-5134
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35487
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License Number State | MO
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