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General NPI Number Information
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NPI Number | 1801954417
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Entity Type | Organization
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Legal Business Name | SHAAF EYE CENTER PC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 40055 BOB HOPE DR SUITE J
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3937
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Country | US
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Telephone | 760-346-5005
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Fax | 760-346-6446
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Provider Business Mailing Address
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Address Line | 40055 BOB HOPE DR SUITE J
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3937
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Country | US
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Telephone | 760-346-5005
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Fax | 760-346-6446
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. MEDHI SHAAF
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Credential | MD
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Telephone | 760-346-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G86815
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License Number State | CA
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