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General NPI Number Information
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NPI Number | 1932596780
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Entity Type | Individual
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Provider Name | SHAZIA JAMAL NAQVI M.D
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Gender | Female
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 6605 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43617
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Country | US
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Telephone | 419-841-7701
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Fax | 419-841-1691
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Provider Business Mailing Address
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Address Line | 2005 ASHLAND AVE
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City | TOLEDO
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State | OH
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Zip | 43620-1703
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Country | US
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Telephone | 419-841-7701
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Fax | 419-841-1691
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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 | 35.135591
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License Number State | OH
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