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General NPI Number Information
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NPI Number | 1851671333
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Entity Type | Organization
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Legal Business Name | LAURA SHAIKH MD PA
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Dates
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Enumeration Date | 08/28/2011
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Last Update Date | 08/28/2011
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Provider Practice Location Address
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Address Line | 1401 S J ST
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City | FORT SMITH
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State | AR
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Zip | 72901-5158
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Country | US
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Telephone | 479-785-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11921
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City | FORT SMITH
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State | AR
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Zip | 72917-1921
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Country | US
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Telephone | 479-782-5500
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Fax | 479-782-5502
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Authorized Official
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Title or Position | OWNER
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Name | LAURA SHAIKH SHAIKH
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Credential | MD
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Telephone | 479-782-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | E-7175
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License Number State | AR
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