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General NPI Number Information
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NPI Number | 1811567852
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Entity Type | Individual
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Provider Name | SHAAN KAMAL MD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 337 MANSFIELD RD
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City | STORRS
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State | CT
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Zip | 06269-1255
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Country | US
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Telephone | 860-486-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-8082
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Country | US
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Telephone | 860-679-6700
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 077527
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License Number State | CT
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