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General NPI Number Information
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NPI Number | 1801874904
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Entity Type | Individual
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Provider Name | SHAKOOR A ARAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 1713 HIGHWAY 441 N SUITE B
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1900
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Country | US
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Telephone | 863-467-9400
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Fax | 863-467-8708
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Provider Business Mailing Address
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Address Line | PO BOX 1459
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City | OKEECHOBEE
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State | FL
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Zip | 34973-1459
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Country | US
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Telephone | 863-467-9400
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Fax | 863-467-8708
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0070365
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License Number State | FL
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