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General NPI Number Information
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NPI Number | 1942644588
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Entity Type | Individual
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Provider Name | SHAJEER NOORUDEEN DO
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Gender | Male
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 06/27/2016
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Provider Practice Location Address
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Address Line | 1000 E BROAD ST # 5-104
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City | RICHMOND
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State | VA
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Zip | 23219-1930
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Country | US
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Telephone | 804-628-2616
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Fax | 804-628-5536
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Provider Business Mailing Address
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Address Line | PO BOX 980276
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City | RICHMOND
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State | VA
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Zip | 23298-0276
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Country | US
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Telephone | 804-628-2616
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Fax | 804-628-5536
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 0116028980
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License Number State | VA
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