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General NPI Number Information
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NPI Number | 1780776054
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Entity Type | Individual
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Provider Name | SHAHID NAZIR MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 400 N PEPPER AVE
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City | COLTON
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State | CA
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Zip | 92324-1801
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Country | US
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Telephone | 909-580-1000
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Fax | 909-580-3443
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Provider Business Mailing Address
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Address Line | 1400 BARTON RD APT 904
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City | REDLANDS
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State | CA
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Zip | 92373-5492
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Country | US
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Telephone | 909-335-1165
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Fax | 909-335-1165
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A49549
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License Number State | CA
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